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General NPI Number Information
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NPI Number | 1326259458
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Entity Type | Individual
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Provider Name | JESSICA M PAULING PTA
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Gender | Female
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Dates
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Enumeration Date | 05/24/2007
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Last Update Date | 05/21/2010
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Provider Practice Location Address
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Address Line | 12371 S KIRKWOOD RD
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City | STAFFORD
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State | TX
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Zip | 77477-2836
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Country | US
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Telephone | 713-779-9300
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Fax |
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Provider Business Mailing Address
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Address Line | 21506 STONECROSS TERRACE LN
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City | KATY
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State | TX
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Zip | 77449-6803
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Country | US
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Telephone | 814-590-6081
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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 | TE007312
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 2061380
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License Number State | TX
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