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General NPI Number Information
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NPI Number | 1033604087
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Entity Type | Organization
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Legal Business Name | VISTA REHAB PARTNERS, LP
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Dates
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Enumeration Date | 06/22/2018
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Last Update Date | 05/05/2022
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Provider Practice Location Address
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Address Line | 2100 W WHITE ST # 290
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City | ANNA
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State | TX
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Zip | 75409-5157
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Country | US
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Telephone | 469-269-5732
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Fax | 469-269-5733
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Provider Business Mailing Address
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Address Line | 5100 ELDORADO PKWY # 10220APT
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City | MCKINNEY
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State | TX
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Zip | 75070-6510
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Country | US
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Telephone | 469-269-5732
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Fax | 469-269-5733
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Authorized Official
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Title or Position | REGIONAL OPERATIONS MANAGER
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Name | DENISE KOLESZAR
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Credential |
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Telephone | 972-486-3115
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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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