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General NPI Number Information
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NPI Number | 1639419187
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Entity Type | Individual
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Provider Name | GARRETT N KIDD
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Gender | Male
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Dates
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Enumeration Date | 02/20/2013
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Last Update Date | 03/13/2025
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Provider Practice Location Address
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Address Line | 2001 S D ST
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City | MCALLEN
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State | TX
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Zip | 78503-1854
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Country | US
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Telephone | 956-686-2242
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Fax |
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Provider Business Mailing Address
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Address Line | 4401 N 6TH ST APT 223
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City | MCALLEN
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State | TX
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Zip | 78504-2574
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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 | 101Y00000X
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Taxonomy Name | Counselor
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 2133756
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License Number State | TX
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