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General NPI Number Information
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NPI Number | 1578395257
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Entity Type | Individual
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Provider Name | MAARI LAINE DOLAN PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 08/20/2024
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Last Update Date | 08/20/2024
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Provider Practice Location Address
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Address Line | 6621 FANNIN ST
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City | HOUSTON
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State | TX
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Zip | 77030-2399
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Country | US
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Telephone | 832-824-1000
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Fax | 832-825-2301
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Provider Business Mailing Address
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Address Line | 1226 W GRAND PKWY S APT 430
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City | KATY
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State | TX
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Zip | 77494-8923
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Country | US
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Telephone | 701-641-7046
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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 | 1394907
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License Number State | TX
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