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General NPI Number Information
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NPI Number | 1104103324
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Entity Type | Organization
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Legal Business Name | BREATHING CENTERS OF TEXAS, PLLC
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Dates
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Enumeration Date | 11/16/2011
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Last Update Date | 02/22/2021
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Provider Practice Location Address
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Address Line | 17937 INTERSTATE 45 S STE 143
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City | SHENANDOAH
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State | TX
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Zip | 77385-8706
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Country | US
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Telephone | 713-660-0663
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Fax | 713-660-0931
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Provider Business Mailing Address
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Address Line | 17937 I 45 S STE 143
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City | SHENANDOAH
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State | TX
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Zip | 77385-8783
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | KATHLEEN VAWTER
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Credential |
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Telephone | 801-388-7745
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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 |
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