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General NPI Number Information
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NPI Number | 1912573122
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Entity Type | Individual
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Provider Name | TOMAS E. ABARAY P.T.
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Gender | Male
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Dates
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Enumeration Date | 05/28/2021
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Last Update Date | 05/28/2021
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Provider Practice Location Address
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Address Line | 9205 PLANTATION DRIVE SUITE 107
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City | GRANBURY
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State | TX
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Zip | 76049
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Country | US
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Telephone | 871-573-2726
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Fax | 817-573-2755
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Provider Business Mailing Address
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Address Line | 1021 HOLDEN ST. REHAB DEPT.
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City | GLEN ROSE
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State | TX
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Zip | 76043
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Country | US
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Telephone | 254-897-3176
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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 | 1020576
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License Number State | TX
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