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General NPI Number Information
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NPI Number | 1144943838
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Entity Type | Individual
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Provider Name | CARLYN RENE FINKE PTA
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Gender | Female
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Dates
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Enumeration Date | 09/19/2022
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Last Update Date | 09/19/2022
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Provider Practice Location Address
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Address Line | 3006 MCNIEL AVE
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City | WICHITA FALLS
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State | TX
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Zip | 76309-4954
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Country | US
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Telephone | 940-691-7511
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Fax |
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Provider Business Mailing Address
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Address Line | 5201 CENTRAL FWY APT 601
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City | WICHITA FALLS
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State | TX
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Zip | 76306-1378
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Country | US
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Telephone | 580-458-0102
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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 |
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License Number State |
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