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General NPI Number Information
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NPI Number | 1841845823
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Entity Type | Individual
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Provider Name | HADLEY LEWIS WATERS PT
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Gender | Female
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Dates
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Enumeration Date | 08/06/2019
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Last Update Date | 09/08/2022
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Provider Practice Location Address
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Address Line | 1935 MEDICAL DISTRICT DR
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City | DALLAS
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State | TX
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Zip | 75235-7701
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Country | US
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Telephone | 214-867-0832
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Fax |
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Provider Business Mailing Address
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Address Line | 6635 DAVIDSON ST UNIT 101
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City | THE COLONY
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State | TX
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Zip | 75056-5613
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Country | US
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Telephone | 512-917-2012
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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 | 1322297
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License Number State | TX
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