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NPI 1265994487

NPI 1265994487 : JOHN R WEEKS PT : LUFKIN, TX

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General NPI Number Information
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    NPI Number           |    1265994487
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    Entity Type          |    Individual 
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    Provider Name        |    JOHN R WEEKS PT
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    04/05/2019
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    Last Update Date     |    04/05/2019
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Provider Practice Location Address
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    Address Line         |    2110 S JOHN REDDITT DR STE C 
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    City                 |    LUFKIN
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    State                |    TX
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    Zip                  |    75904-5482
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    Country              |    US
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    Telephone            |    936-899-7235
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2110 S JOHN REDDITT DR STE C 
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    City                 |    LUFKIN
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    State                |    TX
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    Zip                  |    75904-5482
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    Country              |    US
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    Telephone            |    936-899-7235
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    2251E1300X
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    Taxonomy Name        |    Clinical Electrophysiology Physical Therapist
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    License Number       |    1091213
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    License Number State |    TX
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Taxonomy #2
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    Taxonomy Code        |    2251G0304X
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    Taxonomy Name        |    Geriatric Physical Therapist
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    License Number       |    1091213
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    License Number State |    TX
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Taxonomy #3
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    Taxonomy Code        |    2251H1200X
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    Taxonomy Name        |    Hand Physical Therapist
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    License Number       |    1091213
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    License Number State |    TX
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Taxonomy #4
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    Taxonomy Code        |    2251H1300X
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    Taxonomy Name        |    Human Factors Physical Therapist
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    License Number       |    1091213
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    License Number State |    TX
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Taxonomy #5
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    Taxonomy Code        |    2251N0400X
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    Taxonomy Name        |    Neurology Physical Therapist
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    License Number       |    1091213
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    License Number State |    TX
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Taxonomy #6
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    Taxonomy Code        |    2251X0800X
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    Taxonomy Name        |    Orthopedic Physical Therapist
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    License Number       |    1091213
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    License Number State |    TX
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Taxonomy #7
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    1091213
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    License Number State |    TX
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Taxonomy #8
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    Taxonomy Code        |    2251S0007X
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    Taxonomy Name        |    Sports Physical Therapist
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    License Number       |    1091213
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    License Number State |    TX
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Taxonomy #9
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    Taxonomy Code        |    2251E1200X
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    Taxonomy Name        |    Ergonomics Physical Therapist
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    License Number       |    1091213
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    License Number State |    TX
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Taxonomy #10
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    Taxonomy Code        |    2251C2600X
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    Taxonomy Name        |    Cardiopulmonary Physical Therapist
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    License Number       |    1091213
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    License Number State |    TX
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