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NPI 1063422707

NPI 1063422707 : ARLINGTON PHYSICAL THERAPY PC : ARLINGTON, TX

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General NPI Number Information
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    NPI Number           |    1063422707
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    Entity Type          |    Organization 
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    Legal Business Name  |    ARLINGTON PHYSICAL THERAPY PC 
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Dates
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    Enumeration Date     |    08/08/2006
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    Last Update Date     |    10/31/2024
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Provider Practice Location Address
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    Address Line         |    2310 INTERSTATE 20 W SUITE 204
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    City                 |    ARLINGTON
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    State                |    TX
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    Zip                  |    76017-1677
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    Country              |    US
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    Telephone            |    817-466-7276
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    Fax                  |    844-283-4950
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Provider Business Mailing Address
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    Address Line         |    2310 INTERSTATE 20 W SUITE 204
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    City                 |    ARLINGTON
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    State                |    TX
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    Zip                  |    76017-1677
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    Country              |    US
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    Telephone            |    817-466-7276
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    Fax                  |    817-466-7286
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     GUILLERMO  MORALES 
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    Credential           |    PT
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    Telephone            |    817-466-7276
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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       |    656190000
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    License Number State |    TX
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