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General NPI Number Information
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NPI Number | 1043956162
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Entity Type | Individual
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Provider Name | AUBREY STARNES PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 05/11/2022
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Last Update Date | 05/11/2022
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Provider Practice Location Address
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Address Line | 2771 E BROAD ST STE 211
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City | MANSFIELD
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State | TX
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Zip | 76063-9157
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Country | US
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Telephone | 682-518-6263
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Fax |
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Provider Business Mailing Address
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Address Line | 11325 PARK VISTA BLVD APT 2139
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City | FORT WORTH
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State | TX
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Zip | 76244-7315
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Country | US
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Telephone | 214-797-2542
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Fax |
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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 | 1360537
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License Number State | TX
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