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General NPI Number Information
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NPI Number | 1558068908
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Entity Type | Individual
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Provider Name | ROBERT BENJAMIN TAFOLLA DPT
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Gender | Male
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Dates
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Enumeration Date | 02/15/2023
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Last Update Date | 02/15/2023
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Provider Practice Location Address
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Address Line | 5001 SCHERTZ PKWY
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City | SCHERTZ
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State | TX
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Zip | 78154-1478
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Country | US
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Telephone | 210-305-5713
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Fax |
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Provider Business Mailing Address
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Address Line | 1122 HONEY CRK
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City | NEW BRAUNFELS
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State | TX
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Zip | 78132-3453
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Country | US
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Telephone | 210-854-7661
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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 | 1373742
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License Number State | TX
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