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General NPI Number Information
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NPI Number | 1073278974
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Entity Type | Organization
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Legal Business Name | THERAPY ASSOCIATES OF TEXAS, LP
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Dates
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Enumeration Date | 11/04/2021
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Last Update Date | 06/05/2024
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Provider Practice Location Address
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Address Line | 2745 WIND RIVER LN
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City | DENTON
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State | TX
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Zip | 76210-2999
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Country | US
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Telephone | 940-382-2649
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Fax |
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Provider Business Mailing Address
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Address Line | 550 BAILEY AVE STE 750
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City | FORT WORTH
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State | TX
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Zip | 76107-2175
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Country | US
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Telephone | 817-402-0269
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Fax | 817-402-0336
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Authorized Official
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Title or Position | BILLING ANALYST
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Name | KYLE LANDESS
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Credential |
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Telephone | 480-565-1008
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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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 | 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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