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General NPI Number Information
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NPI Number | 1285449397
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Entity Type | Organization
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Legal Business Name | JARRELL PHYSICAL THERAPY
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Dates
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Enumeration Date | 02/07/2025
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Last Update Date | 02/07/2025
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Provider Practice Location Address
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Address Line | 200 COUNTY ROAD 306 UNIT 2200
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City | JARRELL
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State | TX
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Zip | 76537-2018
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Country | US
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Telephone | 512-201-6792
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Fax |
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Provider Business Mailing Address
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Address Line | 513 GREATEST GIFT WAY
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City | JARRELL
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State | TX
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Zip | 76537-1988
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MAYRA RODRIGUEZ
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Credential | PHYSICAL THERAPIST
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Telephone | 979-393-1466
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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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