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General NPI Number Information
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NPI Number | 1598134108
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Entity Type | Individual
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Provider Name | KATIE R BURDETT
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Gender | Female
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Dates
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Enumeration Date | 09/24/2015
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Last Update Date | 10/20/2017
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Provider Practice Location Address
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Address Line | 250 BLOSSOM ST # 240
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City | WEBSTER
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State | TX
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Zip | 77598-4204
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Country | US
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Telephone | 281-724-0300
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Fax |
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Provider Business Mailing Address
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Address Line | 10223 BROADWAY ST SUITE B
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City | PEARLAND
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State | TX
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Zip | 77584-7880
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Country | US
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Telephone |
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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 | 1262740
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License Number State | TX
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