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General NPI Number Information
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NPI Number | 1609836675
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Entity Type | Individual
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Provider Name | WENDY MCKINNEY GIBBS PT
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Gender | Female
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Dates
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Enumeration Date | 03/24/2006
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Last Update Date | 06/30/2023
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Provider Practice Location Address
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Address Line | 38043 WINDY RIDGE TRL
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City | MAGNOLIA
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State | TX
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Zip | 77355-5370
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Country | US
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Telephone | 832-656-7660
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Fax | 832-559-7720
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Provider Business Mailing Address
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Address Line | 38043 WINDY RIDGE TRL
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City | MAGNOLIA
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State | TX
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Zip | 77355-5370
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Country | US
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Telephone | 832-656-7660
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Fax | 832-559-7720
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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 | 225CA2400X
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Taxonomy Name | Assistive Technology Practitioner Rehabilitation Counselor
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License Number | 92969
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 247200000X
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Taxonomy Name | Other Technician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 1112365
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License Number State | TX
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