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General NPI Number Information
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NPI Number | 1144119702
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Entity Type | Individual
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Provider Name | RAMON MENDOZA PT, DPT
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Gender | Male
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Dates
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Enumeration Date | 06/30/2025
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Last Update Date | 06/30/2025
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Provider Practice Location Address
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Address Line | 7710 HILLSIDE RD STE 600
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City | AMARILLO
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State | TX
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Zip | 79119-8371
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Country | US
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Telephone | 806-355-7633
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Fax |
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Provider Business Mailing Address
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Address Line | 8739 LUPINE
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City | AMARILLO
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State | TX
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Zip | 79119-1190
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Country | US
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Telephone | 806-549-3794
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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 | 3134320
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License Number State | TX
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