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General NPI Number Information
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NPI Number | 1144045618
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Entity Type | Individual
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Provider Name | JOHN DAVID LERMA PT, DPT
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Gender | Male
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Dates
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Enumeration Date | 11/20/2024
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Last Update Date | 11/20/2024
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Provider Practice Location Address
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Address Line | 114 LANG RD
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City | PORTLAND
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State | TX
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Zip | 78374-2654
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Country | US
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Telephone | 361-643-8243
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Fax |
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Provider Business Mailing Address
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Address Line | 5026 DEEPWOOD CIR
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City | CORPUS CHRISTI
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State | TX
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Zip | 78415-2901
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Country | US
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Telephone | 361-854-2278
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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 | 1401846
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License Number State | TX
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