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General NPI Number Information
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NPI Number | 1396040473
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Entity Type | Organization
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Legal Business Name | DANINA L CULVER
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Dates
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Enumeration Date | 01/20/2011
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Last Update Date | 08/03/2016
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Provider Practice Location Address
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Address Line | 4310 RAMSEY AVE
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City | AUSTIN
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State | TX
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Zip | 78756
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Country | US
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Telephone | 512-784-5485
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Fax | 512-453-6995
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Provider Business Mailing Address
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Address Line | 4310 RAMSEY AVE
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City | AUSTIN
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State | TX
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Zip | 78756
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Country | US
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Telephone | 512-784-5485
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Fax | 512-453-6995
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Authorized Official
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Title or Position | PHYSICAL THERAPIST/SOLE PROPRIETOR
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Name | DANINA L CULVER
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Credential |
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Telephone | 512-453-6778
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | 100124
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 2251P0200X
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Taxonomy Name | Pediatric Physical Therapist
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License Number | 1023273
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License Number State | TX
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