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General NPI Number Information
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NPI Number | 1689535411
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Entity Type | Individual
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Provider Name | ALBERT BAXTER
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Gender | Male
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Dates
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Enumeration Date | 11/20/2025
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Last Update Date | 11/20/2025
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Provider Practice Location Address
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Address Line | 2631 GRAVEL DR
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City | FORT WORTH
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State | TX
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Zip | 76118-6982
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Country | US
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Telephone | 972-647-0111
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Fax |
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Provider Business Mailing Address
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Address Line | 1100 HATCHER LN
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City | COLUMBIA
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State | TN
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Zip | 38401-3530
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Country | US
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Telephone | 931-377-2273
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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 | 225CA2400X
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Taxonomy Name | Assistive Technology Practitioner Rehabilitation Counselor
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License Number | ATP565
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License Number State | TX
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