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NPI 1144838632

NPI 1144838632 : SOOLMAZ ARJOMAND FISCHER DPT : MIDLAND, TX

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General NPI Number Information
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    NPI Number           |    1144838632
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    Entity Type          |    Individual 
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    Provider Name        |    SOOLMAZ ARJOMAND FISCHER DPT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/21/2020
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    Last Update Date     |    08/15/2024
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Provider Practice Location Address
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    Address Line         |    2420 W ILLINOIS AVE 
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    City                 |    MIDLAND
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    State                |    TX
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    Zip                  |    79701-6337
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    Country              |    US
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    Telephone            |    432-687-0235
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    Fax                  |    432-570-8713
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Provider Business Mailing Address
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    Address Line         |    PO BOX 932184 
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    City                 |    ATLANTA
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    State                |    GA
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    Zip                  |    31193-2184
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    Country              |    US
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    Telephone            |    
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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       |    PT35776
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    License Number State |    FL
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Taxonomy #2
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    13102
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    License Number State |    TN
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Taxonomy #3
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    1394835
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    License Number State |    TX
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