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General NPI Number Information
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NPI Number | 1083768857
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Entity Type | Individual
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Provider Name | CAROLYN KERBY P.T.
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Gender | Female
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Dates
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Enumeration Date | 01/22/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 918 E 32ND ST
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City | AUSTIN
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State | TX
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Zip | 78705-2704
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Country | US
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Telephone | 512-404-8195
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Fax |
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Provider Business Mailing Address
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Address Line | 1710 BRIAR ST
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City | AUSTIN
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State | TX
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Zip | 78704-3422
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Country | US
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Telephone | 512-851-1856
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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 | 1108496
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 1108496
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License Number State | TX
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