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General NPI Number Information
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NPI Number | 1356058879
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Entity Type | Individual
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Provider Name | ABAGAYLE LOUISE KING DPT
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Gender | Female
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Dates
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Enumeration Date | 11/03/2022
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Last Update Date | 11/03/2022
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Provider Practice Location Address
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Address Line | 2956 I-45 NORTH SUITE 500
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City | CONROE
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State | TX
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Zip | 77303
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Country | US
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Telephone | 936-441-4422
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Fax | 936-441-4427
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Provider Business Mailing Address
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Address Line | 425 MCCALEB RD APT 7104
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City | MONTGOMERY
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State | TX
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Zip | 77316-5226
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Country | US
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Telephone | 708-272-2631
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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 | 1368573
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License Number State | TX
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