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General NPI Number Information
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NPI Number | 1073303871
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Entity Type | Individual
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Provider Name | KINLEY LINDELL AIKIN-FISK PTA
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Gender | Female
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Dates
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Enumeration Date | 05/07/2025
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Last Update Date | 05/07/2025
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Provider Practice Location Address
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Address Line | 901 S SWEETWATER ST # 1030
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City | WHEELER
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State | TX
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Zip | 79096-2428
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Country | US
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Telephone | 806-425-1850
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Fax | 806-425-1850
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Provider Business Mailing Address
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Address Line | 1821 N WELLS ST
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City | PAMPA
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State | TX
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Zip | 79065-3343
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Country | US
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Telephone | 806-663-2634
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Fax | 806-641-1799
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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 | 2081S0010X
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Taxonomy Name | Sports Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | 2151603
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License Number State | TX
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