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General NPI Number Information
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NPI Number | 1255013165
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Entity Type | Individual
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Provider Name | GARRETT LEE FORERO MORALES DPT
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Gender | Male
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Dates
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Enumeration Date | 08/01/2023
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Last Update Date | 08/01/2023
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Provider Practice Location Address
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Address Line | 1305 E ELM ST
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City | HILLSBORO
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State | TX
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Zip | 76645-2645
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Country | US
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Telephone | 254-582-2713
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Fax |
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Provider Business Mailing Address
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Address Line | 301 HARBIN AVE
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City | WAXAHACHIE
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State | TX
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Zip | 75165-2443
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Country | US
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Telephone | 469-527-5444
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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 | 1255582
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License Number State | TX
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