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General NPI Number Information
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NPI Number | 1922683531
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Entity Type | Individual
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Provider Name | ROXANNE GORDON PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 03/15/2021
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Last Update Date | 08/04/2025
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Provider Practice Location Address
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Address Line | 10861 183A TOLL RD STE 1250
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City | LEANDER
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State | TX
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Zip | 78641-1258
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Country | US
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Telephone | 512-439-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 16760 RONALD W REAGAN BLVD APT 121
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City | LEANDER
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State | TX
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Zip | 78641-4140
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Country | US
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Telephone | 512-636-6043
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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 | 1343191
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License Number State | TX
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