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NPI 1841906484

NPI 1841906484 : ABIFITZ, LLC : ABILENE, TX

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General NPI Number Information
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    NPI Number           |    1841906484
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    Entity Type          |    Organization 
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    Legal Business Name  |    ABIFITZ, LLC 
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Dates
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    Enumeration Date     |    01/26/2023
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    Last Update Date     |    02/09/2023
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Provider Practice Location Address
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    Address Line         |    5526 BUFFALO GAP RD 
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    City                 |    ABILENE
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    State                |    TX
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    Zip                  |    79606-4126
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    Country              |    US
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    Telephone            |    325-216-9555
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    Fax                  |    325-216-9508
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Provider Business Mailing Address
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    Address Line         |    5526 BUFFALO GAP RD 
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    City                 |    ABILENE
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    State                |    TX
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    Zip                  |    79606-4126
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    Country              |    US
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    Telephone            |    325-216-9555
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    Fax                  |    325-216-9508
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    MR. STEVEN WAYNE CUNNINGHAM 
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    Credential           |    
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    Telephone            |    325-669-0617
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QP2000X
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    Taxonomy Name        |    Physical Therapy Clinic/Center
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    License Number       |    
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    License Number State |    
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