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General NPI Number Information
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NPI Number | 1710535083
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Entity Type | Individual
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Provider Name | MARY ELIZABETH HALANEY PT
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Gender | Female
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Dates
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Enumeration Date | 08/29/2019
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Last Update Date | 08/29/2019
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Provider Practice Location Address
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Address Line | 9430 RESEARCH BLVD STE 2-350
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City | AUSTIN
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State | TX
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Zip | 78759-6586
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Country | US
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Telephone | 512-710-6516
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Fax |
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Provider Business Mailing Address
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Address Line | 11521 HEATHROW DR
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City | AUSTIN
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State | TX
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Zip | 78759-4427
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Country | US
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Telephone | 512-913-0118
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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 | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 1046639
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 2251G0304X
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Taxonomy Name | Geriatric Physical Therapist
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License Number | 1046639
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License Number State | TX
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