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General NPI Number Information
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NPI Number | 1821368143
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Entity Type | Individual
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Provider Name | SAMUEL ZACHARY DOSS P.T.
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Gender | Male
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Dates
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Enumeration Date | 01/03/2012
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Last Update Date | 12/09/2021
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Provider Practice Location Address
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Address Line | 2896 HUBER RD STE A
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City | SEGUIN
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State | TX
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Zip | 78155-2292
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Country | US
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Telephone | 830-461-0078
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Fax |
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Provider Business Mailing Address
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Address Line | 3008 E TACOMA ST
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City | BROKEN ARROW
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State | OK
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Zip | 74014-4915
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Country | US
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Telephone | 918-527-2519
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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 | 1180420
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 3792
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License Number State | OK
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