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General NPI Number Information
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NPI Number | 1215647979
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Entity Type | Individual
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Provider Name | ASHLEY ADELL ABBOTT DPT
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Gender | Female
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Dates
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Enumeration Date | 12/02/2022
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Last Update Date | 12/02/2022
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Provider Practice Location Address
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Address Line | 1300 GEMINI ST
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City | HOUSTON
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State | TX
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Zip | 77058-6014
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Country | US
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Telephone | 361-548-7924
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Fax |
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Provider Business Mailing Address
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Address Line | 1300 GEMINI ST APT 2305
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City | HOUSTON
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State | TX
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Zip | 77058-6017
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Country | US
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Telephone | 361-548-7924
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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 | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 1364960
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License Number State | TX
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