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General NPI Number Information
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NPI Number | 1255109229
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Entity Type | Organization
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Legal Business Name | JERL, INC.
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Dates
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Enumeration Date | 12/19/2023
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Last Update Date | 12/19/2023
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Provider Practice Location Address
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Address Line | 13830 SAWYER RANCH RD STE 300
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City | DRIPPING SPRINGS
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State | TX
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Zip | 78620-5514
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Country | US
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Telephone | 512-894-2194
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Fax | 512-829-4682
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Provider Business Mailing Address
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Address Line | PO BOX 562
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City | DRIPPING SPRINGS
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State | TX
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Zip | 78620-0562
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Country | US
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Telephone | 512-858-5191
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Fax | 512-858-5194
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Authorized Official
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Title or Position | OWNER
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Name | ERIN LYNN KETHLEY
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Credential | PT
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Telephone | 512-858-5191
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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 |
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License Number State |
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