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NPI 1649893173

NPI 1649893173 : AUDREY M HOWARD CTRS : SAN ANTONIO, TX

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General NPI Number Information
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    NPI Number           |    1649893173
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    Entity Type          |    Individual 
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    Provider Name        |    AUDREY M HOWARD CTRS
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/19/2020
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    Last Update Date     |    05/19/2020
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Provider Practice Location Address
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    Address Line         |    1339 STEVES AVE STE W 
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    City                 |    SAN ANTONIO
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    State                |    TX
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    Zip                  |    78210-5026
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    Country              |    US
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    Telephone            |    512-667-5020
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1339 STEVES AVE STE W 
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    City                 |    SAN ANTONIO
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    State                |    TX
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    Zip                  |    78210-5026
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    Country              |    US
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    Telephone            |    512-667-5020
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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       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    225XR0403X
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    Taxonomy Name        |    Driving and Community Mobility Occupational Therapist
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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        |    225800000X
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    Taxonomy Name        |    Recreation Therapist
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    License Number       |    
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    License Number State |    
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