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General NPI Number Information
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NPI Number | 1336147545
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Entity Type | Organization
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Legal Business Name | BUTLER SHAHAN PHYSICAL THERAPY SERVICES PLLC
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Dates
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Enumeration Date | 07/12/2005
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Last Update Date | 04/27/2009
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Provider Practice Location Address
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Address Line | 19325 W US HIGHWAY 82
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City | SHERMAN
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State | TX
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Zip | 75092-6885
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Country | US
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Telephone | 903-892-1333
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Fax | 903-893-9943
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Provider Business Mailing Address
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Address Line | 19325 W US HIGHWAY 82
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City | SHERMAN
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State | TX
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Zip | 75092-6885
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Country | US
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Telephone | 903-892-1333
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Fax | 903-893-9943
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Authorized Official
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Title or Position | PT/OWNER/
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Name | MR. JOE DAVID SHAHAN
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Credential | PT
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Telephone | 903-892-1333
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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 | 632540000
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License Number State | TX
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