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General NPI Number Information
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NPI Number | 1336261676
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Entity Type | Individual
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Provider Name | JACQUELINE L ASTRERO PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 04/06/2007
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Last Update Date | 05/21/2025
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Provider Practice Location Address
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Address Line | 1100 WILFORD HALL LOOP BLDG 4554
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City | JBSA LACKLAND
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State | TX
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Zip | 78236-5638
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Country | US
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Telephone | 210-292-6255
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Fax | 210-292-7934
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Provider Business Mailing Address
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Address Line | OFFICE OF THE COMMAND SURGEON EUCOM HEADQUARTERS, PATCH BARRACKS
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City | APO
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State | AE
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Zip | 09128-0003
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Country | US
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Telephone | 324-412-4232
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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 | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number |
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License Number State |
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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 | PT21799
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License Number State | FL
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