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General NPI Number Information
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NPI Number | 1194119826
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Entity Type | Organization
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Legal Business Name | TRANSFORMATIVE THERAPY PLLC
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Dates
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Enumeration Date | 03/19/2015
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Last Update Date | 03/19/2015
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Provider Practice Location Address
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Address Line | 101 AVENUE J
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City | ANSON
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State | TX
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Zip | 79501-2113
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Country | US
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Telephone | 325-338-9076
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Fax |
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Provider Business Mailing Address
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Address Line | 3548 FM 707
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City | ANSON
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State | TX
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Zip | 79501
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Country | US
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Telephone | 325-338-9076
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. NOEL FLORES
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Credential | P.T., D.P.T.
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Telephone | 325-864-2179
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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 |
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