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General NPI Number Information
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NPI Number | 1376090274
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Entity Type | Individual
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Provider Name | TAYLOR HOHBACH PTA
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Gender | Female
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Dates
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Enumeration Date | 09/08/2016
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Last Update Date | 09/08/2016
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Provider Practice Location Address
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Address Line | 871 OLD ALICE RD
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City | BROWNSVILLE
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State | TX
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Zip | 78520-8268
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Country | US
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Telephone | 712-229-9979
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Fax |
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Provider Business Mailing Address
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Address Line | 5539 E AVE
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City | MARCUS
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State | IA
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Zip | 51035-7051
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Country | US
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Telephone | 712-229-9979
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 2125036
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License Number State | TX
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