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General NPI Number Information
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NPI Number | 1205218633
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Entity Type | Individual
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Provider Name | MONICA MARIE DESCHAINE D.P.T
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Gender | Female
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Dates
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Enumeration Date | 06/22/2015
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Last Update Date | 06/22/2015
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Provider Practice Location Address
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Address Line | 1248 AUSTIN HWY UNIT 210
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City | SAN ANTONIO
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State | TX
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Zip | 78209-4821
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Country | US
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Telephone | 210-946-1753
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Fax |
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Provider Business Mailing Address
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Address Line | 31031 KEENELAND DR
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City | FAIR OAKS RANCH
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State | TX
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Zip | 78015-4247
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Country | US
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Telephone | 210-643-4600
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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 | 3117847
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License Number State | TX
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