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General NPI Number Information
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NPI Number | 1679339188
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Entity Type | Individual
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Provider Name | JENNA ABBUHL PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 02/22/2024
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Last Update Date | 02/22/2024
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Provider Practice Location Address
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Address Line | 567 CHRIS KELLEY BLVD
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City | HUTTO
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State | TX
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Zip | 78634-2085
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Country | US
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Telephone | 512-846-6550
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Fax |
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Provider Business Mailing Address
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Address Line | 567 CHRIS KELLEY BLVD
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City | HUTTO
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State | TX
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Zip | 78634-2085
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Country | US
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Telephone |
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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 | CP028248T
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT020915
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License Number State | OH
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