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General NPI Number Information
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NPI Number | 1326817362
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Entity Type | Individual
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Provider Name | CAROLINE GO PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 01/01/2024
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Last Update Date | 01/01/2024
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Provider Practice Location Address
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Address Line | 7000 PRESTON RD STE 100
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City | PLANO
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State | TX
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Zip | 75024-2821
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Country | US
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Telephone | 469-303-4800
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Fax |
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Provider Business Mailing Address
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Address Line | 4325 FAIRFAX AVE
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City | DALLAS
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State | TX
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Zip | 75205-3026
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Country | US
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Telephone | 316-655-7519
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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 | 2251P0200X
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Taxonomy Name | Pediatric Physical Therapist
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License Number | 1364217
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License Number State | TX
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