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General NPI Number Information
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NPI Number | 1043592587
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Entity Type | Individual
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Provider Name | JOSHUA JAMES TENBENSEL DPT
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Gender | Male
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Dates
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Enumeration Date | 09/11/2011
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Last Update Date | 01/04/2022
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Provider Practice Location Address
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Address Line | 3003 N A ST
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City | MIDLAND
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State | TX
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Zip | 79705-5304
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Country | US
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Telephone | 432-684-7755
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Fax |
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Provider Business Mailing Address
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Address Line | 501 N LEE AVE
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City | ODESSA
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State | TX
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Zip | 79761-4423
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Country | US
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Telephone | 402-890-0253
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Fax | 432-335-5365
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 3024
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License Number State | NE
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 1330204
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License Number State | TX
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