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General NPI Number Information
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NPI Number | 1083090161
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Entity Type | Individual
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Provider Name | KRISTIE OYLER P.T.
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Gender | Female
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Dates
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Enumeration Date | 07/30/2015
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Last Update Date | 07/30/2015
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Provider Practice Location Address
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Address Line | 300 S JACKSON ST
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City | BRECKENRIDGE
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State | TX
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Zip | 76424-4804
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Country | US
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Telephone | 254-559-2099
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 251
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City | BENJAMIN
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State | TX
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Zip | 79505-0251
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Country | US
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Telephone | 806-773-5561
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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 | 1026482
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License Number State | TX
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