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General NPI Number Information
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NPI Number | 1043261787
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Entity Type | Organization
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Legal Business Name | NORTH CENTRAL TEXAS PHYSICAL MEDICINE & REHABILITATION PA
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Dates
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Enumeration Date | 05/15/2006
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Last Update Date | 12/01/2010
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Provider Practice Location Address
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Address Line | 4461 COIT RD SUITE 301
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City | FRISCO
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State | TX
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Zip | 75035-0521
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Country | US
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Telephone | 214-619-5425
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Fax | 214-619-5427
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Provider Business Mailing Address
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Address Line | 9720 COIT RD # 220-262
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City | PLANO
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State | TX
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Zip | 75025-5833
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Country | US
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Telephone | 214-619-5425
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Fax | 214-619-5427
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Authorized Official
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Title or Position | OWNER
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Name | MARY L CAIRE
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Credential | MD
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Telephone | 214-619-5425
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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