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General NPI Number Information
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NPI Number | 1326038340
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Entity Type | Individual
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Provider Name | DARRELL GERIK
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Gender | Male
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Dates
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Enumeration Date | 10/21/2005
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Last Update Date | 08/31/2023
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Provider Practice Location Address
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Address Line | 19138 US HIGHWAY 281 N
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City | SAN ANTONIO
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State | TX
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Zip | 78258-4988
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Country | US
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Telephone | 210-804-5416
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Fax | 210-396-5309
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Provider Business Mailing Address
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Address Line | 6610 RAMBLING TRAIL DR
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City | SAN ANTONIO
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State | TX
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Zip | 78240-5515
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Country | US
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Telephone |
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 000566
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 1070431
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License Number State | TX
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