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General NPI Number Information
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NPI Number | 1669238812
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Entity Type | Individual
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Provider Name | ANTONIO PEREZ
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Gender | Male
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Dates
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Enumeration Date | 02/26/2024
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Last Update Date | 04/08/2025
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Provider Practice Location Address
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Address Line | 3500 OAK LAWN AVE STE 240
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City | DALLAS
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State | TX
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Zip | 75219-4329
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Country | US
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Telephone | 214-528-3378
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Fax |
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Provider Business Mailing Address
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Address Line | 4303 BUENA VISTA ST APT 308
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City | DALLAS
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State | TX
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Zip | 75205-4889
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Country | US
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Telephone | 773-865-7510
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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 | 1390153
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License Number State | TX
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