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General NPI Number Information
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NPI Number | 1407182942
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Entity Type | Individual
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Provider Name | RHONDA GAYLE WESSON PTA
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Gender | Female
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Dates
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Enumeration Date | 10/18/2009
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Last Update Date | 08/14/2014
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Provider Practice Location Address
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Address Line | 3401 WEBBERVILLE RD
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City | AUSTIN
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State | TX
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Zip | 78702-3004
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Country | US
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Telephone | 575-921-2188
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Fax |
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Provider Business Mailing Address
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Address Line | 1060 W COUNTY ROAD F
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City | LEXINGTON
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State | TX
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Zip | 78947-6151
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Country | US
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Telephone | 575-921-2188
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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 | A-73
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License Number State | NM
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Taxonomy #2
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Taxonomy Code | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 2041184
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License Number State | TX
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