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General NPI Number Information
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NPI Number | 1164327417
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Entity Type | Organization
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Legal Business Name | GOLDEN PHYSICAL THERAPY, LLC
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Dates
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Enumeration Date | 10/08/2026
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Last Update Date | 10/08/2026
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Provider Practice Location Address
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Address Line | 1313 W POLK AVE STE 11
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City | PHARR
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State | TX
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Zip | 78577-2141
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Country | US
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Telephone | 956-961-4014
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Fax |
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Provider Business Mailing Address
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Address Line | 1313 W POLK AVE STE 11
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City | PHARR
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State | TX
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Zip | 78577-2141
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Country | US
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Telephone | 956-961-4014
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JOSE GRANADOS
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Credential | PT, DPT
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Telephone | 575-343-0667
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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 | NULL
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