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General NPI Number Information
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NPI Number | 1891990768
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Entity Type | Individual
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Provider Name | WILLIAM HEARNE LAHAYE PT
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Gender | Male
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Dates
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Enumeration Date | 06/19/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 100 E ALTON GLOOR BLVD STE A
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City | BROWNSVILLE
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State | TX
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Zip | 78526-3354
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Country | US
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Telephone | 956-350-7325
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Fax | 956-350-7330
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Provider Business Mailing Address
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Address Line | 77 SANTA ISABEL BLVD # O2
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City | LAGUNA VISTA
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State | TX
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Zip | 78578-2607
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Country | US
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Telephone | 956-943-5049
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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 | 1142123
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License Number State | TX
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