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General NPI Number Information
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NPI Number | 1194022749
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Entity Type | Organization
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Legal Business Name | MMC THERAPY ENTERPRISES, LLC
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Dates
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Enumeration Date | 02/17/2011
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Last Update Date | 08/09/2023
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Provider Practice Location Address
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Address Line | 3465 NATIONAL DR STE 115
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City | PLANO
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State | TX
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Zip | 75025
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Country | US
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Telephone | 972-410-5777
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Fax |
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Provider Business Mailing Address
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Address Line | 3465 NATIONAL DR STE 115
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City | PLANO
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State | TX
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Zip | 75025-1095
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Country | US
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Telephone | 469-361-2303
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Fax |
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | ALEXANDRA DEE MCANALLY
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Credential |
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Telephone | 469-361-2303
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 273Y00000X
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Taxonomy Name | Rehabilitation Hospital Unit
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License Number |
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License Number State |
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Taxonomy #2
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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 |
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