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General NPI Number Information
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NPI Number | 1114075603
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Entity Type | Organization
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Legal Business Name | HTK ENTERPRISES, LLC
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Dates
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Enumeration Date | 01/08/2007
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Last Update Date | 08/01/2016
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Provider Practice Location Address
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Address Line | 11882 GREENVILLE AVE SUITE B127
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City | DALLAS
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State | TX
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Zip | 75243-0586
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Country | US
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Telephone | 469-364-3420
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Fax | 469-364-3421
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Provider Business Mailing Address
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Address Line | 11882 GREENVILLE AVE SUITE B127
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City | DALLAS
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State | TX
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Zip | 75243-0586
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Country | US
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Telephone | 469-364-3420
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Fax | 469-364-3421
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Authorized Official
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Title or Position | OWNER
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Name | ANNETTE E MURRAY
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Credential | P.T.
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Telephone | 469-364-3420
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 103604
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 1136463
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License Number State | TX
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