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General NPI Number Information
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NPI Number | 1245372903
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Entity Type | Organization
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Legal Business Name | CENTRAL TEXAS HYPERBARICS AND WOUND
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Dates
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Enumeration Date | 02/12/2007
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Last Update Date | 01/29/2008
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Provider Practice Location Address
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Address Line | 123 SOUTH PARK DRIVE
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City | BROWNWOOD
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State | TX
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Zip | 76801
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Country | US
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Telephone | 325-643-5513
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Fax | 325-649-3646
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Provider Business Mailing Address
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Address Line | 123 SOUTH PARK DRIVE
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City | BROWNWOOD
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State | TX
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Zip | 76801
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Country | US
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Telephone | 325-649-3642
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Fax | 325-649-3646
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Authorized Official
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Title or Position | OWNER
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Name | MR. DAREY ALLEN PHILBRICK
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Credential | MD
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Telephone | 325-643-5513
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | J6662
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License Number State | TX
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