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General NPI Number Information
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NPI Number | 1063287233
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Entity Type | Individual
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Provider Name | MS. YSABELLE CHARLAINE COMIA ARROZAL
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Gender | Female
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Dates
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Enumeration Date | 11/17/2023
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Last Update Date | 11/17/2023
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Provider Practice Location Address
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Address Line | 856 WILLOW TREE CIR
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City | CORDOVA
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State | TN
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Zip | 38018-6350
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Country | US
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Telephone | 901-794-7988
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Fax | 901-203-2805
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Provider Business Mailing Address
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Address Line | 677 CHATEAU POINTE BLVD
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City | SOUTHAVEN
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State | MS
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Zip | 38672-8573
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Country | US
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Telephone | 662-545-7696
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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 | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | 14841
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License Number State | TN
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