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General NPI Number Information
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NPI Number | 1023190329
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Entity Type | Organization
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Legal Business Name | WEATHERFORD PHYSICAL THERAPY INC
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Dates
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Enumeration Date | 10/19/2006
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Last Update Date | 12/17/2007
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Provider Practice Location Address
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Address Line | 141 COLLEGE PARK DR
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City | WEATHERFORD
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State | TX
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Zip | 76086-6211
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Country | US
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Telephone | 817-341-3600
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Fax | 817-599-8181
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Provider Business Mailing Address
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Address Line | 141 COLLEGE PARK DR
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City | WEATHERFORD
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State | TX
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Zip | 76086-6211
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Country | US
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Telephone | 817-341-3600
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Fax | 817-599-8181
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Authorized Official
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Title or Position | CLINIC DIRECTOR
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Name | MR. DENNIS GEORGE CONNELLY
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Credential | PT
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Telephone | 817-341-3600
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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 |
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License Number State | TX
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