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General NPI Number Information
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NPI Number | 1245467901
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Entity Type | Individual
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Provider Name | ANGELA LEE FITCH
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Gender | Female
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Dates
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Enumeration Date | 06/19/2009
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Last Update Date | 06/19/2009
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Provider Practice Location Address
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Address Line | 9910 HUEBNER RD
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City | SAN ANTONIO
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State | TX
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Zip | 78240-1342
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Country | US
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Telephone | 210-691-0039
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Fax | 210-699-0136
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Provider Business Mailing Address
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Address Line | 61 SABLE CYN
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City | SAN ANTONIO
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State | TX
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Zip | 78258-4857
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Country | US
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Telephone | 210-542-4892
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Fax | 210-699-0136
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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 | 1098689
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License Number State | TX
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