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General NPI Number Information
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NPI Number | 1336635564
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Entity Type | Organization
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Legal Business Name | MOBILITY SENSE PT, PLLC
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Dates
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Enumeration Date | 07/11/2018
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Last Update Date | 06/10/2019
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Provider Practice Location Address
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Address Line | 1630 SAM RAYBURN HWY
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City | MELISSA
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State | TX
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Zip | 75454-7545
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Country | US
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Telephone | 214-636-2535
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Fax |
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Provider Business Mailing Address
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Address Line | 2112 ARBOR BEND ST
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City | BONHAM
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State | TX
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Zip | 75418-2226
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Country | US
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Telephone | 580-775-4579
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. JENNIFER BESCH
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Credential | PT, DPT
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Telephone | 580-775-4579
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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 | 1053965
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License Number State | TX
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Taxonomy #2
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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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