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General NPI Number Information
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NPI Number | 1255146767
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Entity Type | Individual
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Provider Name | GAVIN BARRON LMT
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Gender | Male
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Dates
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Enumeration Date | 02/11/2025
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Last Update Date | 02/11/2025
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Provider Practice Location Address
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Address Line | 220 COMMERCIAL DR STE D
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City | HARKER HEIGHTS
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State | TX
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Zip | 76548-2566
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Country | US
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Telephone | 254-680-7546
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Fax |
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Provider Business Mailing Address
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Address Line | 3101 OCHILTREE DR # B
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City | TEMPLE
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State | TX
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Zip | 76501-6909
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Country | US
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Telephone | 512-318-9887
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | MT135732
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License Number State | TX
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