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General NPI Number Information
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NPI Number | 1477224830
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Entity Type | Individual
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Provider Name | MIRANDA CINCLAIR PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 09/24/2021
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Last Update Date | 01/06/2025
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Provider Practice Location Address
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Address Line | 8160 WALNUT HILL LN STE 316
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City | DALLAS
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State | TX
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Zip | 75231-4391
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Country | US
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Telephone | 214-600-8168
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Fax |
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Provider Business Mailing Address
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Address Line | 2221 STANMORE LN
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City | PLANO
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State | TX
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Zip | 75025-5539
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Country | US
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Telephone |
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 1351909
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License Number State | TX
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