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General NPI Number Information
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NPI Number | 1487117628
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Entity Type | Individual
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Provider Name | CAROLINE N DAVIES PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 04/12/2019
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Last Update Date | 04/12/2019
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Provider Practice Location Address
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Address Line | 7112 ED BLUESTEIN BLVD STE 100
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City | AUSTIN
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State | TX
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Zip | 78723-2913
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Country | US
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Telephone | 512-744-6000
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Fax | 512-334-2325
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Provider Business Mailing Address
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Address Line | 9411 N LAMAR BLVD STE 120
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City | AUSTIN
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State | TX
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Zip | 78753-4179
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Country | US
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Telephone | 512-583-9679
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Fax | 512-233-0985
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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 | 2251P0200X
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Taxonomy Name | Pediatric Physical Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 1315756
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License Number State | TX
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