{
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"OrgName": "THIBODEAU PHYSICAL THERAPY LIMITED PARTNERSHIP",
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"FirstLineMailingAddress": "1300 W SAM HOUSTON PKWY S",
"SecondLineMailingAddress": "SUITE 300",
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"MailingAddressPostalCode": "77042-2447",
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"MailingAddressTelephoneNumber": "713-297-7000",
"MailingAddressFaxNumber": "713-297-7090",
"FirstLinePracticeLocationAddress": "1808 S CEDAR ST",
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"PracticeLocationAddressCityName": "IMLAY CITY",
"PracticeLocationAddressStateName": "MI",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "810-721-0421",
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"EnumerationDate": "11/01/2006",
"LastUpdateDate": "08/24/2023",
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"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "BINSTEIN",
"AuthorizedOfficialFirstName": "RICHARD",
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"AuthorizedOfficialTelephoneNumber": "713-297-7000",
"Taxonomies": {
"Taxonomy": [
{
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"PrimaryTaxonomySwitch": "N"
},
{
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}
]
},
"HealthcareProviderTaxonomyGroups": {
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"HealthcareProviderTaxonomyGroupDescription": "Multi-Specialty Group - A business group of one or more individual practitioners, who practice with different areas of specialization."
}
}
}
}