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General NPI Number Information
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NPI Number | 1669112637
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Entity Type | Individual
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Provider Name | WENDOLYNN LACHELLE ALLEN PT
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Gender | Female
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Dates
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Enumeration Date | 03/29/2022
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Last Update Date | 08/21/2025
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Provider Practice Location Address
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Address Line | 2318 SAN JACINTO BLVD STE 108
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City | DENTON
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State | TX
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Zip | 76205-7535
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Country | US
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Telephone | 940-202-0281
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Fax |
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Provider Business Mailing Address
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Address Line | 18665 MIDWAY RD APT 1511
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City | DALLAS
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State | TX
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Zip | 75287-3939
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Country | US
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Telephone | 504-432-7527
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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 | 1407245
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License Number State | TX
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