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General NPI Number Information
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NPI Number | 1184699902
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Entity Type | Individual
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Provider Name | HERBERT LEE BAIRNSFATHER JR. PT, FAAOMPT
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Gender | Male
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Dates
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Enumeration Date | 02/23/2006
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Last Update Date | 03/28/2012
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Provider Practice Location Address
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Address Line | 4910 GOLDEN QUAIL SUITE 140
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City | SAN ANTONIO
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State | TX
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Zip | 78240-1540
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Country | US
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Telephone | 210-421-7336
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Fax |
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Provider Business Mailing Address
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Address Line | 4910 GOLDEN QUAIL SUITE 140
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City | SAN ANTONIO
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State | TX
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Zip | 78240-1540
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Country | US
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Telephone | 210-421-7336
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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 | 1162883
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License Number State | TX
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