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General NPI Number Information
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NPI Number | 1235118787
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Entity Type | Organization
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Legal Business Name | AFFILIATED PHYSICAL THERAPY AND REHABILITATION CLINIC INC
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Dates
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Enumeration Date | 01/12/2006
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Last Update Date | 07/02/2008
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Provider Practice Location Address
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Address Line | 4310 JAMES CASEY ST SUITE 1D
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City | AUSTIN
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State | TX
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Zip | 78745-1120
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Country | US
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Telephone | 512-445-5213
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Fax | 512-445-4353
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Provider Business Mailing Address
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Address Line | 4310 JAMES CASEY ST SUITE 1D
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City | AUSTIN
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State | TX
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Zip | 78745-1120
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Country | US
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Telephone | 512-445-5213
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Fax | 512-445-4353
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR AND OWNER
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Name | MR. THOMAS GENE BILLINGS
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Credential | PT
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Telephone | 512-443-2400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 601920000
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License Number State | TX
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