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General NPI Number Information
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NPI Number | 1588322325
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Entity Type | Organization
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Legal Business Name | CALIBER KIDS, PLLC
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Dates
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Enumeration Date | 11/29/2021
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Last Update Date | 02/11/2022
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Provider Practice Location Address
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Address Line | 2896 HUBER RD STE A
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City | SEGUIN
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State | TX
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Zip | 78155-2292
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Country | US
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Telephone | 830-461-0078
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Fax |
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Provider Business Mailing Address
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Address Line | 1319 KELLER LN
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City | SEGUIN
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State | TX
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Zip | 78155-4011
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Country | US
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Telephone | 830-461-0078
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Fax |
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Authorized Official
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Title or Position | PHYSICAL THERAPIST/OWNER
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Name | SAMUEL ZACHARY DOSS
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Credential | PT
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Telephone | 830-461-0078
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251P0200X
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Taxonomy Name | Pediatric Physical Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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