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General NPI Number Information
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NPI Number | 1558307850
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Entity Type | Individual
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Provider Name | LYNNE A DAVIS PT
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Gender | Female
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Dates
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Enumeration Date | 06/22/2006
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Last Update Date | 11/05/2025
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Provider Practice Location Address
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Address Line | 2010 W KATHERINE P RAINES RD STE 400
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City | CLEBURNE
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State | TX
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Zip | 76033-7458
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Country | US
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Telephone | 817-556-3212
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Fax | 817-645-9845
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Provider Business Mailing Address
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Address Line | 2010 W KATHERINE P RAINES RD
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City | CLEBURNE
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State | TX
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Zip | 76033-7435
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Country | US
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Telephone | 817-556-3212
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Fax | 817-645-9845
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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 | 1415
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 1069680
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License Number State | TX
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