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General NPI Number Information
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NPI Number | 1033151386
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Entity Type | Organization
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Legal Business Name | EASTGATE PHYSICAL THERAPY LP
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Dates
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Enumeration Date | 06/12/2006
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Last Update Date | 04/12/2010
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Provider Practice Location Address
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Address Line | 683 LOVELAND MADEIRA RD
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City | LOVELAND
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State | OH
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Zip | 45140-2715
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Country | US
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Telephone | 513-583-5374
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Fax | 513-583-7489
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Provider Business Mailing Address
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Address Line | 1300 W SAM HOUSTON PKWY S SUITE 300
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City | HOUSTON
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State | TX
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Zip | 77042-2447
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Country | US
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Telephone | 713-297-7000
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Fax | 713-297-7090
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Authorized Official
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Title or Position | VP/AUTHORIZED OFFICIAL
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Name | CHRIS D CORRIGAN
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Credential |
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Telephone | 713-297-7000
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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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Taxonomy #2
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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