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General NPI Number Information
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NPI Number | 1659597649
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Entity Type | Individual
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Provider Name | RALPH VARELA PT
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Gender | Male
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Dates
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Enumeration Date | 04/18/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 8403 CROSS PARK DR SUITE 1F
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City | AUSTIN
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State | TX
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Zip | 78754-4539
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Country | US
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Telephone | 512-833-9557
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Fax |
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Provider Business Mailing Address
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Address Line | 3212 JEWELFISH CV
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City | AUSTIN
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State | TX
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Zip | 78728-4392
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Country | US
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Telephone | 512-388-1784
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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 | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 1139897
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License Number State | TX
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