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General NPI Number Information
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NPI Number | 1356435028
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Entity Type | Individual
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Provider Name | PAUL BRIAN FREE MPT
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Gender | Male
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 12/04/2007
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Provider Practice Location Address
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Address Line | 2215 N MIDLAND DRIVE STE 4A
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City | MIDLAND
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State | TX
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Zip | 79707
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Country | US
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Telephone | 432-697-6677
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Fax | 432-697-6678
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Provider Business Mailing Address
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Address Line | P.O. BOX 80744
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City | MIDLAND
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State | TX
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Zip | 79708-0744
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Country | US
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Telephone | 432-664-9392
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Fax | 432-689-2732
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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 | 1128015
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License Number State | TX
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