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General NPI Number Information
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NPI Number | 1023780467
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Entity Type | Organization
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Legal Business Name | STEPHENVILLE ORTHOPEDIC AND ATHLETIC REHAB LLC
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Dates
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Enumeration Date | 10/04/2021
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 2109 W WASHINGTON ST
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City | STEPHENVILLE
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State | TX
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Zip | 76401-3927
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Country | US
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Telephone | 254-918-0724
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Fax | 254-918-0883
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Provider Business Mailing Address
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Address Line | 1714 COUNTY ROAD 512
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City | STEPHENVILLE
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State | TX
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Zip | 76401-6820
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/PHYSICAL THERAPIST
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Name | JEFFREY BIERMAN
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Credential |
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Telephone | 979-324-7462
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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 |
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