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General NPI Number Information
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NPI Number | 1972127181
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Entity Type | Individual
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Provider Name | PATRICIA MARTINSEN PT
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Gender | Female
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Dates
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Enumeration Date | 06/03/2020
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Last Update Date | 06/03/2020
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Provider Practice Location Address
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Address Line | 14651 DALLAS PKWY STE 200
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City | DALLAS
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State | TX
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Zip | 75254-8856
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Country | US
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Telephone | 877-694-0152
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Fax |
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Provider Business Mailing Address
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Address Line | 6305 RAVENWOOD DR
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City | PEARLAND
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State | TX
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Zip | 77584-7739
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Country | US
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Telephone | 322-319-6258
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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 | 1329021
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License Number State | TX
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