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General NPI Number Information
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NPI Number | 1295509701
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Entity Type | Organization
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Legal Business Name | CARE PHYSICAL THERAPY PLLC
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Dates
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Enumeration Date | 11/14/2023
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Last Update Date | 01/09/2024
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Provider Practice Location Address
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Address Line | 651 N HIGHWAY 183 STE 350
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City | LEANDER
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State | TX
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Zip | 78641-7016
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Country | US
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Telephone | 512-808-3692
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Fax |
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Provider Business Mailing Address
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Address Line | 339 ZUMA DR
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City | LIBERTY HILL
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State | TX
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Zip | 78642-2351
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Country | US
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Telephone | 660-441-8228
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Fax |
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Authorized Official
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Title or Position | PHYSICAL THERAPIST
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Name | KRISHNA PRATYUSHA PARUCHURI
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Credential | PT, DPT
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Telephone | 660-441-8228
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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 |
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