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General NPI Number Information
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NPI Number | 1902374697
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Entity Type | Individual
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Provider Name | TARA KAMIEN PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 11/12/2018
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Last Update Date | 11/12/2018
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Provider Practice Location Address
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Address Line | 940 CLEAR LAKE CITY BLVD
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City | WEBSTER
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State | TX
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Zip | 77598-6606
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Country | US
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Telephone | 832-828-9132
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Fax |
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Provider Business Mailing Address
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Address Line | 2503 APACHE ST
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City | LEAGUE CITY
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State | TX
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Zip | 77573-7190
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Country | US
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Telephone | 715-897-1639
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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 | 1235102
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License Number State | TX
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