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NPI 1659942571

NPI 1659942571 : KARAH LEEANN BEAVERS DPT : FRISCO, TX

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General NPI Number Information
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    NPI Number           |    1659942571
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    Entity Type          |    Individual 
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    Provider Name        |    KARAH LEEANN BEAVERS DPT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/02/2021
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    Last Update Date     |    08/19/2024
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Provider Practice Location Address
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    Address Line         |    8195 CUSTER RD STE 100 
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    City                 |    FRISCO
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    State                |    TX
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    Zip                  |    75035-3195
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    Country              |    US
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    Telephone            |    940-241-1215
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    Fax                  |    940-455-2041
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Provider Business Mailing Address
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    Address Line         |    4040 BRYCE LN 
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    City                 |    FLOWER MOUND
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    State                |    TX
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    Zip                  |    75077-7038
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    Country              |    US
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    Telephone            |    940-241-1215
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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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