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General NPI Number Information
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NPI Number | 1124035050
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Entity Type | Organization
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Legal Business Name | PHYSIOTHERAPY OF EL PASO, P.C.
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Dates
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Enumeration Date | 08/02/2006
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Last Update Date | 07/24/2025
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Provider Practice Location Address
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Address Line | 6358 EDGEMERE BLVD
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City | EL PASO
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State | TX
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Zip | 79925-3517
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Country | US
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Telephone | 915-562-8525
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Fax | 915-566-3889
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Provider Business Mailing Address
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Address Line | 6358 EDGEMERE BLVD
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City | EL PASO
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State | TX
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Zip | 79925-3517
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Country | US
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Telephone | 915-562-8525
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Fax | 915-566-3889
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Authorized Official
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Title or Position | DIRECTOR OF PHYSICAL THERAPY
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Name | HERMAN KOSTER
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Credential | PT
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Telephone | 915-562-8525
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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 | 619810000
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License Number State | TX
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