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General NPI Number Information
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NPI Number | 1295194702
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Entity Type | Organization
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Legal Business Name | ATLETA PHYSICAL THERAPY LLC
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Dates
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Enumeration Date | 02/12/2016
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Last Update Date | 02/12/2016
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Provider Practice Location Address
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Address Line | 11707 S SAM HOUSTON PKWY W H
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City | HOUSTON
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State | TX
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Zip | 77031-2344
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Country | US
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Telephone | 281-530-7539
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Fax | 281-907-9539
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Provider Business Mailing Address
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Address Line | 11707 S SAM HOUSTON PKWY W H
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City | HOUSTON
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State | TX
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Zip | 77031-2344
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Country | US
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Telephone | 281-530-7539
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Fax | 281-907-9539
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Authorized Official
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Title or Position | DIRECTOR
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Name | DANIEL ARNOLD
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Credential |
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Telephone | 281-530-7539
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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 |
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License Number State | TX
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