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General NPI Number Information
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NPI Number | 1174801971
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Entity Type | Organization
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Legal Business Name | ALL SCHERTZ-CIBOLO PHYSICAL THERAPY
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Dates
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Enumeration Date | 07/27/2011
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Last Update Date | 08/03/2016
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Provider Practice Location Address
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Address Line | 17323 IH 35 N STE. 107
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City | SCHERTZ
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State | TX
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Zip | 78154-1277
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Country | US
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Telephone | 210-659-4333
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Fax | 210-659-0809
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Provider Business Mailing Address
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Address Line | 17323 IH 35 N STE. 107
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City | SCHERTZ
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State | TX
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Zip | 78154-1277
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Country | US
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Telephone | 210-659-4333
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Fax | 210-659-0809
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Authorized Official
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Title or Position | OWNER/PT
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Name | DR. DEREK SANCHEZ
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Credential | PT
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Telephone | 210-659-4333
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | 671030000
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License Number State | TX
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