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General NPI Number Information
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NPI Number | 1861569089
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Entity Type | Individual
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Provider Name | FREDERIC DEAN CARR P.T.
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Gender | Male
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Dates
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Enumeration Date | 11/30/2006
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Last Update Date | 02/22/2021
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Provider Practice Location Address
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Address Line | 3818 DECKER DR
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City | BAYTOWN
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State | TX
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Zip | 77520-1662
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Country | US
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Telephone | 281-424-7557
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Fax | 281-424-7567
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Provider Business Mailing Address
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Address Line | 3003 QUINCANNON LN
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City | HOUSTON
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State | TX
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Zip | 77043-1201
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Country | US
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Telephone | 713-562-2575
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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 | 1020535
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License Number State | TX
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