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General NPI Number Information
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NPI Number | 1760406078
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Entity Type | Individual
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Provider Name | JILL ANN MANNERS LAT, ATC, PT, NREMT
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Gender | Female
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Dates
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Enumeration Date | 07/27/2006
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Last Update Date | 02/11/2025
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Provider Practice Location Address
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Address Line | TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER 3601 4TH ST., STOP 6226
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City | LUBBOCK
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State | TX
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Zip | 79430
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Country | US
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Telephone | 806-743-2793
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Fax |
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Provider Business Mailing Address
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Address Line | TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER 3601 4TH ST., STOP 6226
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City | LUBBOCK
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State | TX
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Zip | 79430
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Country | US
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Telephone | 806-743-2793
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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 | 146N00000X
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Taxonomy Name | Basic Emergency Medical Technician
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License Number | 794219
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 146N00000X
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Taxonomy Name | Basic Emergency Medical Technician
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License Number | E3881703
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License Number State |
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT013778
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License Number State | GA
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Taxonomy #4
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Taxonomy Code | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | RT006939
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License Number State | PA
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Taxonomy #5
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Taxonomy Code | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | AT10020
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License Number State | TX
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Taxonomy #6
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Taxonomy Code | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | AT001616
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License Number State | GA
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