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General NPI Number Information
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NPI Number | 1255895926
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Entity Type | Individual
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Provider Name | BRITTANY RENEE GALVAN
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Gender | Female
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Dates
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Enumeration Date | 01/28/2019
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Last Update Date | 01/28/2019
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Provider Practice Location Address
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Address Line | 1700 W GRIFFIN PKWY
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City | MISSION
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State | TX
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Zip | 78572-7305
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Country | US
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Telephone | 956-583-8876
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Fax |
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Provider Business Mailing Address
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Address Line | 2005 ALCOA AVE
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City | ROCKDALE
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State | TX
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Zip | 76567-2131
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Country | US
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Telephone | 979-864-5760
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 2138571
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License Number State | TX
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