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General NPI Number Information
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NPI Number | 1073540019
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Entity Type | Organization
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Legal Business Name | PEAK PHYSICAL THERAPY AND SPORTS MEDICINE CENTERS AT CRAIG RANCH, PLLC
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Dates
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Enumeration Date | 06/26/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 8080 STATE HIGHWAY 121 SUITE 310
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City | MCKINNEY
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State | TX
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Zip | 75070
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Country | US
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Telephone | 972-359-8502
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Fax | 972-359-1749
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Provider Business Mailing Address
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Address Line | 8080 STATE HIGHWAY 121 SUITE 310
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City | MCKINNEY
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State | TX
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Zip | 75070
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Country | US
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Telephone | 972-359-8502
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Fax | 972-359-1749
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | CYNTHIA K HALL ASHBY
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Credential | PT
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Telephone | 972-359-8502
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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 | TX
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