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General NPI Number Information
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NPI Number | 1497823439
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Entity Type | Individual
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Provider Name | SUSAN ELIZABETH STINEMETZ PTA
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Gender | Female
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Dates
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Enumeration Date | 11/30/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2074 ANTILLEY RD
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City | ABILENE
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State | TX
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Zip | 79606-5209
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Country | US
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Telephone | 325-691-2434
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Fax | 325-691-2522
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Provider Business Mailing Address
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Address Line | 4601 HARTFORD ST
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City | ABILENE
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State | TX
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Zip | 79605-4603
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Country | US
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Telephone | 325-793-3400
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Fax | 325-793-3587
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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 | 4039968
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License Number State | TX
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