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General NPI Number Information
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NPI Number | 1235570201
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Entity Type | Organization
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Legal Business Name | THERAPEUTIC ENDEAVORS LLC
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Dates
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Enumeration Date | 07/08/2013
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Last Update Date | 07/08/2013
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Provider Practice Location Address
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Address Line | 156 S MAIN ST STE 200
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City | LUMBERTON
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State | TX
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Zip | 77657-7882
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Country | US
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Telephone | 409-658-9369
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Fax |
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Provider Business Mailing Address
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Address Line | 3675 HIGHWAY 96 BYP
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City | SILSBEE
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State | TX
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Zip | 77656-7623
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Country | US
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Telephone | 409-658-9369
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. WILLIAM SELLERS
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Credential | PT
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Telephone | 409-658-9369
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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 | 1139889
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License Number State | TX
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