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General NPI Number Information
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NPI Number | 1093589962
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Entity Type | Organization
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Legal Business Name | THERAPY TIME HOME CARE LLC
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Dates
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Enumeration Date | 11/13/2023
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Last Update Date | 11/13/2023
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Provider Practice Location Address
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Address Line | 3400 DWYER LN
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City | FLOWER MOUND
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State | TX
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Zip | 75022-2869
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Country | US
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Telephone | 704-252-4563
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Fax |
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Provider Business Mailing Address
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Address Line | 3400 DWYER LN
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City | FLOWER MOUND
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State | TX
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Zip | 75022-2869
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Country | US
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Telephone | 704-252-4563
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Fax |
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Authorized Official
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Title or Position | PHYSICAL THERAPIST
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Name | NAMRATHA THIKKAVARAPU
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Credential |
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Telephone | 704-252-4563
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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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 | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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