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General NPI Number Information
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NPI Number | 1144903238
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Entity Type | Individual
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Provider Name | DANIELLE WHITE PTA
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Gender | Female
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Dates
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Enumeration Date | 08/07/2023
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Last Update Date | 07/07/2025
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Provider Practice Location Address
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Address Line | 911 W 38TH ST STE 300
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City | AUSTIN
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State | TX
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Zip | 78705-1161
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Country | US
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Telephone | 512-439-1002
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Fax |
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Provider Business Mailing Address
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Address Line | 1611 W 5TH ST APT 433
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City | AUSTIN
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State | TX
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Zip | 78703-4885
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | PTA-7439
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License Number State | ID
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