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NPI 1134304371

NPI 1134304371 : KOBY BRANDON HOOKER P.T. : AMARILLO, TX

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General NPI Number Information
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    NPI Number           |    1134304371
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    Entity Type          |    Individual 
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    Provider Name        |    KOBY BRANDON HOOKER P.T.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    01/07/2008
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    Last Update Date     |    08/16/2018
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Provider Practice Location Address
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    Address Line         |    7120 SW 9TH AVE 
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    City                 |    AMARILLO
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    State                |    TX
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    Zip                  |    79106
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    Country              |    US
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    Telephone            |    806-336-8740
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1 CLOISTER PKWY 
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    City                 |    AMARILLO
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    State                |    TX
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    Zip                  |    79121-1715
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    Country              |    US
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    Telephone            |    806-336-8740
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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       |    1078830
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    License Number State |    TX
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