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General NPI Number Information
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NPI Number | 1528083136
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Entity Type | Individual
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Provider Name | DONALD R. OLIVER PHYSICAL THERAPIST
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Gender | Male
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Dates
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Enumeration Date | 07/13/2006
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Last Update Date | 06/28/2013
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Provider Practice Location Address
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Address Line | 1028 S 14TH ST
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City | KINGSVILLE
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State | TX
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Zip | 78363-6422
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Country | US
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Telephone | 361-815-1302
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Fax | 361-232-4964
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Provider Business Mailing Address
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Address Line | 6110 SYLLING DR
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City | CORPUS CHRISTI
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State | TX
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Zip | 78414-6128
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Country | US
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Telephone | 361-815-1302
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Fax | 361-232-4964
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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 | 1132884
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License Number State | TX
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