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General NPI Number Information
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NPI Number | 1265521751
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Entity Type | Organization
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Legal Business Name | IN-SYNCH THERAPY AND MASSAGE
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Dates
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Enumeration Date | 10/12/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 615 S ASTER ST
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City | PHARR
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State | TX
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Zip | 78577-5358
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Country | US
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Telephone | 956-534-7268
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Fax |
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Provider Business Mailing Address
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Address Line | 615 S ASTER ST
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City | PHARR
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State | TX
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Zip | 78577-5358
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Country | US
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Telephone | 956-534-7268
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. MINERVA GATLING
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Credential | PT
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Telephone | 956-534-7268
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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 | 1060036
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License Number State | TX
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