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General NPI Number Information
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NPI Number | 1497924104
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Entity Type | Individual
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Provider Name | MATTHEW J KING PT, DPT
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Gender | Male
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Dates
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Enumeration Date | 02/27/2008
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Last Update Date | 03/30/2018
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Provider Practice Location Address
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Address Line | 525 AVENUE B
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City | ABILENE
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State | TX
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Zip | 79607-1409
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Country | US
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Telephone | 325-696-5451
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Fax |
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Provider Business Mailing Address
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Address Line | 697 LOUISIANA DRIVE
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City | DYES AFB
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State | TX
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Zip | 79607-1367
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Country | US
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Telephone | 325-696-5451
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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 | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 1179849
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License Number State | TX
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