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General NPI Number Information
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NPI Number | 1104094325
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Entity Type | Organization
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Legal Business Name | WESTPORT PHYSICAL THERAPY LLC
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Dates
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Enumeration Date | 02/11/2008
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Last Update Date | 02/11/2008
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Provider Practice Location Address
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Address Line | 2401 WESTPORT PKWY SUITE 150
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City | FORT WORTH
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State | TX
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Zip | 76177-5315
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Country | US
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Telephone | 817-837-8800
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Fax | 817-837-8801
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Provider Business Mailing Address
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Address Line | 2401 WESTPORT PKWY SUITE 150
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City | FORT WORTH
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State | TX
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Zip | 76177-5315
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Country | US
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Telephone | 817-837-8800
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Fax | 817-837-8801
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | JAMES H HILL
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Credential |
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Telephone | 817-837-8800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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