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General NPI Number Information
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NPI Number | 1881817419
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Entity Type | Individual
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Provider Name | FELIPE PEREZ GUMAWID JR. P.T.
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Gender | Male
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Dates
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Enumeration Date | 04/11/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1242 N 19TH ST
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City | ABILENE
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State | TX
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Zip | 79601-2316
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Country | US
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Telephone | 325-670-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 3934 RIDGMAR LN
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City | ABILENE
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State | TX
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Zip | 79606-2690
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Country | US
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Telephone | 325-695-2460
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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 | 1065167
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License Number State | TX
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