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General NPI Number Information
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NPI Number | 1497245278
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Entity Type | Individual
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Provider Name | ALYSA MEYER PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 05/16/2018
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Last Update Date | 09/08/2023
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Provider Practice Location Address
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Address Line | 725 N ELM ST STE 17
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City | DENTON
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State | TX
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Zip | 76201-6903
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Country | US
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Telephone | 832-526-6451
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Fax |
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Provider Business Mailing Address
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Address Line | 406 STONELEIGH CIR
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City | LAKE DALLAS
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State | TX
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Zip | 75065-2394
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Country | US
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Telephone | 832-526-6451
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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 | 1278502
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | 1278502
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License Number State | TX
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