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General NPI Number Information
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NPI Number | 1770462236
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Entity Type | Individual
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Provider Name | DONALD WAYNE ROUNDTREE JR. PT, DPT
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Gender | Male
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Dates
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Enumeration Date | 08/28/2025
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Last Update Date | 11/25/2025
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Provider Practice Location Address
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Address Line | 2011 S TEXAS AVE
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City | BRYAN
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State | TX
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Zip | 77802-1834
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Country | US
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Telephone | 979-599-5900
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Fax |
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Provider Business Mailing Address
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Address Line | 6349 FM 244 RD
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City | ANDERSON
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State | TX
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Zip | 77830-8953
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Country | US
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Telephone | 936-355-0887
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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 | 1407405
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License Number State | TX
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