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General NPI Number Information
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NPI Number | 1760206403
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Entity Type | Individual
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Provider Name | ELIZABETH ANNE NEUMANN PTA
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Gender | Female
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Dates
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Enumeration Date | 11/11/2024
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Last Update Date | 11/11/2024
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Provider Practice Location Address
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Address Line | 19255 PARK ROW STE 105
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City | HOUSTON
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State | TX
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Zip | 77084-7310
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Country | US
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Telephone | 346-333-2794
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Fax |
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Provider Business Mailing Address
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Address Line | 20735 CRANFIELD DR
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City | KATY
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State | TX
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Zip | 77450-2703
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Country | US
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Telephone | 346-307-4166
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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 | 2081P0010X
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Taxonomy Name | Pediatric Rehabilitation Medicine Physician
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License Number | 2186260
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License Number State | TX
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