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General NPI Number Information
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NPI Number | 1326267626
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Entity Type | Organization
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Legal Business Name | PANHANDLE PHYSICAL MEDICINE AND REHABILITATION, P.A.
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Dates
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Enumeration Date | 04/25/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1901 MEDI PARK DR STE 1048
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City | AMARILLO
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State | TX
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Zip | 79106-2108
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Country | US
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Telephone | 806-356-2275
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Fax | 806-356-2279
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Provider Business Mailing Address
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Address Line | PO BOX 7386
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City | AMARILLO
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State | TX
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Zip | 79114-7386
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Country | US
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Telephone | 806-356-2275
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Fax | 806-356-2279
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. GRACE STRINGFELLOW
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Credential | M.D.
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Telephone | 806-356-2275
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | H4735
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License Number State | TX
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