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General NPI Number Information
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NPI Number | 1316898489
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Entity Type | Individual
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Provider Name | STEPHANIE DANIELLE DE HOYOS PTA
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Gender | Female
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Dates
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Enumeration Date | 02/05/2026
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Last Update Date | 02/05/2026
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Provider Practice Location Address
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Address Line | 600 1-20 EAST
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City | STANTON
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State | TX
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Zip | 79782
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Country | US
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Telephone | 432-607-3232
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Fax |
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Provider Business Mailing Address
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Address Line | 624 SETTLES ST
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City | BIG SPRING
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State | TX
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Zip | 79720-3602
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Country | US
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Telephone | 757-708-0109
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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 | 2102767
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License Number State | TX
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