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General NPI Number Information
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NPI Number | 1285459909
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Entity Type | Individual
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Provider Name | BRIAN GILL PT, DPT
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Gender | Male
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Dates
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Enumeration Date | 11/18/2024
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Last Update Date | 12/10/2024
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Provider Practice Location Address
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Address Line | 2306 RAYFORD RD STE 300
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City | SPRING
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State | TX
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Zip | 77386-1707
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Country | US
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Telephone | 281-863-9944
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Fax |
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Provider Business Mailing Address
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Address Line | 912 LINDEN BLVD APT 1C
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City | BROOKLYN
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State | NY
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Zip | 11203-3758
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Country | US
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Telephone | 347-465-1465
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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 | 1402799
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License Number State | TX
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