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General NPI Number Information
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NPI Number | 1659852069
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Entity Type | Individual
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Provider Name | PAMELA ANN RAGSDILL PT
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Gender | Female
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Dates
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Enumeration Date | 08/23/2018
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Last Update Date | 07/17/2023
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Provider Practice Location Address
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Address Line | 1205 N GOLIAD ST
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City | ROCKWALL
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State | TX
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Zip | 75087-7204
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Country | US
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Telephone | 469-314-1369
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Fax |
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Provider Business Mailing Address
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Address Line | 404 NASH ST
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City | ROCKWALL
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State | TX
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Zip | 75087-2516
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Country | US
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Telephone | 214-502-0447
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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 | 1062982
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License Number State | TX
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