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General NPI Number Information
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NPI Number | 1932912037
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Entity Type | Individual
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Provider Name | BIANCA ALEIGH WHITTEN PTA
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Gender | Female
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Dates
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Enumeration Date | 01/31/2025
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Last Update Date | 02/03/2025
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Provider Practice Location Address
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Address Line | 701 HIGHLANDER BLVD STE 370
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City | ARLINGTON
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State | TX
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Zip | 76015-4600
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Country | US
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Telephone | 817-375-5200
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Fax |
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Provider Business Mailing Address
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Address Line | 240 PARKS SCHOOL HOUSE RD APT 207
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City | WAXAHACHIE
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State | TX
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Zip | 75165-3919
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Country | US
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Telephone | 682-500-9592
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 2187160
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License Number State | TX
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