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General NPI Number Information
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NPI Number | 1538980412
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Entity Type | Individual
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Provider Name | CHALLIS DAVIS PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 10/23/2024
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Last Update Date | 11/05/2024
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Provider Practice Location Address
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Address Line | 2008 N STATE HIGHWAY 121
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City | BONHAM
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State | TX
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Zip | 75418-2302
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Country | US
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Telephone | 903-583-7433
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Fax |
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Provider Business Mailing Address
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Address Line | 4375 COUNTY ROAD 4400
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City | COMMERCE
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State | TX
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Zip | 75428-6413
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Country | US
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Telephone |
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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 | 1387930
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License Number State | TX
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