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General NPI Number Information
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NPI Number | 1164957684
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Entity Type | Organization
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Legal Business Name | STRATTON PHYSICAL THERAPY
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Dates
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Enumeration Date | 04/21/2017
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Last Update Date | 04/21/2017
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Provider Practice Location Address
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Address Line | 818 KNIGHTS CROSS DR SUITE #5107
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City | SAN ANTONIO
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State | TX
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Zip | 78258-2982
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Country | US
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Telephone | 210-612-7952
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Fax | 855-492-1012
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Provider Business Mailing Address
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Address Line | 818 KNIGHTS CROSS DR SUITE #5107
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City | SAN ANTONIO
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State | TX
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Zip | 78258-2982
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Country | US
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Telephone | 210-612-7952
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Fax | 855-492-1012
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Authorized Official
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Title or Position | OWNER
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Name | MR. STEVEN ALDEN STRATTON
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Credential | PT
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Telephone | 210-612-7952
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 1030005
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License Number State | TX
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