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General NPI Number Information
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NPI Number | 1649634858
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Entity Type | Individual
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Provider Name | KIMBERLY SANDERS MITCHELL PT
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Gender | Female
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Dates
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Enumeration Date | 04/13/2016
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Last Update Date | 07/26/2016
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Provider Practice Location Address
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Address Line | 519 S CARROLL BLVD SUITE 103
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City | DENTON
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State | TX
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Zip | 76201-6025
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Country | US
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Telephone | 940-372-1072
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Fax |
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Provider Business Mailing Address
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Address Line | 11036 S HUNTER HILL LN
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City | ARGYLE
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State | TX
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Zip | 76226-2926
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Country | US
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Telephone | 940-367-9499
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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 | 1046456
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License Number State | TX
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