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General NPI Number Information
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NPI Number | 1982245569
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Entity Type | Individual
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Provider Name | JOSSELIN LINARES PTA
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Gender | Female
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Dates
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Enumeration Date | 10/04/2019
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Last Update Date | 10/04/2019
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Provider Practice Location Address
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Address Line | 6731 STELLA LINK RD
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City | HOUSTON
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State | TX
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Zip | 77005-4342
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Country | US
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Telephone | 713-662-9900
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Fax |
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Provider Business Mailing Address
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Address Line | 8562 ARIEL ST
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City | HOUSTON
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State | TX
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Zip | 77074-2807
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Country | US
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Telephone | 832-420-6210
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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 | 2148445
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License Number State | TX
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