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General NPI Number Information
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NPI Number | 1972742773
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Entity Type | Individual
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Provider Name | CARLA T YBALLE PT
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Gender | Female
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Dates
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Enumeration Date | 02/18/2009
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Last Update Date | 09/27/2022
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Provider Practice Location Address
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Address Line | BLDG. 9497 KAB PSC 4821
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City | FPO
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State | AP
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Zip | 96362
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Country | US
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Telephone | 98-634-2747
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Fax |
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Provider Business Mailing Address
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Address Line | NMRTC OKINAWA PSC 482
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City | FPO
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State | AP
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Zip | 96362-2999
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Country | US
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Telephone | 80-943-6989
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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 | 1074805
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License Number State | TX
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