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General NPI Number Information
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NPI Number | 1346852373
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Entity Type | Individual
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Provider Name | BRIANNA N REYNOLDS PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 08/20/2020
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Last Update Date | 08/20/2020
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Provider Practice Location Address
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Address Line | 2535 LONE STAR DR
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City | DALLAS
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State | TX
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Zip | 75212-6313
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Country | US
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Telephone | 713-783-8181
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Fax |
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Provider Business Mailing Address
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Address Line | 7575 KIRBY DR APT 2416
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City | HOUSTON
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State | TX
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Zip | 77030-4451
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Country | US
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Telephone | 817-888-0938
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 1331433
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License Number State | TX
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