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General NPI Number Information
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NPI Number | 1588475255
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Entity Type | Individual
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Provider Name | CHARLES TURNER PTA
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Gender | Male
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Dates
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Enumeration Date | 01/14/2025
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Last Update Date | 01/14/2025
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Provider Practice Location Address
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Address Line | 24109 KINGWOOD PLACE DR
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City | KINGWOOD
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State | TX
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Zip | 77339-2721
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Country | US
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Telephone | 832-534-3047
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Fax |
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Provider Business Mailing Address
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Address Line | 129 APRIL WATERS DR W
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City | MONTGOMERY
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State | TX
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Zip | 77356-8835
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Country | US
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Telephone | 936-661-1899
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 2123827
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License Number State | TX
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