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NPI 1861622011

NPI 1861622011 : JAMES ANDREW O'BRIEN PT : FT. CAVAZOS, TX

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General NPI Number Information
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    NPI Number           |    1861622011
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    Entity Type          |    Individual 
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    Provider Name        |    JAMES ANDREW O'BRIEN PT
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    07/22/2009
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    Last Update Date     |    02/12/2025
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Provider Practice Location Address
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    Address Line         |    590 MEDICAL CENTER 
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    City                 |    FT. CAVAZOS
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    State                |    TX
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    Zip                  |    76544
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    Country              |    US
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    Telephone            |    254-288-8000
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    706 DUNFORD DR 
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    City                 |    TEMPLE
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    State                |    TX
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    Zip                  |    76502-2405
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    Country              |    US
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    Telephone            |    860-967-9341
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    Fax                  |    609-679-3418
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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        |    2251X0800X
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    Taxonomy Name        |    Orthopedic Physical Therapist
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    License Number       |    008560
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    License Number State |    CT
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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       |    008560
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    License Number State |    CT
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