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NPI 1255742425

NPI 1255742425 : OLAYA SALINAS PTA : AUSTIN, TX

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General NPI Number Information
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    NPI Number           |    1255742425
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    Entity Type          |    Individual 
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    Provider Name        |    OLAYA SALINAS PTA
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/09/2014
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    Last Update Date     |    05/09/2014
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Provider Practice Location Address
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    Address Line         |    3520 EXECUTIVE CENTER DR SUITE 128
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    City                 |    AUSTIN
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    State                |    TX
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    Zip                  |    78731-1642
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    Country              |    US
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    Telephone            |    512-343-0222
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    Fax                  |    210-692-0223
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Provider Business Mailing Address
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    Address Line         |    3520 EXECUTIVE CENTER DR SUITE 128
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    City                 |    AUSTIN
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    State                |    TX
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    Zip                  |    78731-1642
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    Country              |    US
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    Telephone            |    512-343-0222
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    Fax                  |    210-692-0223
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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        |    225200000X
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    Taxonomy Name        |    Physical Therapy Assistant
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    License Number       |    2046050
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    License Number State |    TX
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