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General NPI Number Information
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NPI Number | 1457237372
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Entity Type | Individual
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Provider Name | CODY SABOL PTA
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Gender | Male
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Dates
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Enumeration Date | 08/14/2025
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Last Update Date | 08/14/2025
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Provider Practice Location Address
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Address Line | 900 THREADNEEDLE ST STE 150
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City | HOUSTON
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State | TX
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Zip | 77079-2913
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Country | US
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Telephone | 713-799-2200
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Fax |
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Provider Business Mailing Address
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Address Line | 214 E LANTANA CIR
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City | SEALY
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State | TX
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Zip | 77474-8074
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Country | US
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Telephone | 713-826-9658
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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 | 2155126
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License Number State | TX
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