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General NPI Number Information
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NPI Number | 1194166058
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Entity Type | Organization
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Legal Business Name | WEST TEXAS THERAPY
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Dates
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Enumeration Date | 07/08/2013
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Last Update Date | 07/09/2013
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Provider Practice Location Address
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Address Line | 200 ANDREWS HWY
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City | MIDLAND
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State | TX
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Zip | 79701-6377
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Country | US
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Telephone | 432-221-4915
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Fax |
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Provider Business Mailing Address
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Address Line | 200 ANDREWS HWY
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City | MIDLAND
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State | TX
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Zip | 79701-6377
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Country | US
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Telephone | 432-221-4915
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Fax |
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Authorized Official
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Title or Position | PHYSICAL THERAPIST
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Name | MR. JASON SCHULZ
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Credential | PT
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Telephone | 432-221-4210
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number |
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License Number State |
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