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General NPI Number Information
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NPI Number | 1780033738
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Entity Type | Individual
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Provider Name | REBECCA COMBS PTA
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Gender | Female
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Dates
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Enumeration Date | 06/10/2016
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Last Update Date | 06/10/2016
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Provider Practice Location Address
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Address Line | 106 MOUNT VISTA RD
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City | DENTON
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State | NC
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Zip | 27239-8793
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Country | US
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Telephone | 133-685-9218
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Fax |
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Provider Business Mailing Address
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Address Line | 117 YORKSHIRE DR
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City | SALISBURY
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State | NC
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Zip | 28144-8534
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Country | US
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Telephone | 828-778-1078
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 1455
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License Number State | NC
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