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General NPI Number Information
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NPI Number | 1568684124
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Entity Type | Individual
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Provider Name | ADRIANA JOHANNA FLIPSEN PT
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Gender | Female
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 10223 BROADWAY, SUITE P, # 336
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City | PEARLAND
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State | TX
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Zip | 77581
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Country | US
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Telephone | 903-720-5216
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Fax |
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Provider Business Mailing Address
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Address Line | 7561 FM 1960 EAST, SUITE 284
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City | HUMBLE
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State | TX
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Zip | 77346
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Country | US
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Telephone | 832-326-1364
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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 | 1090611
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License Number State | TX
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