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General NPI Number Information
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NPI Number | 1366404394
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Entity Type | Organization
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Legal Business Name | NEW STRIDE PHYSICAL THERAPY & REHABILITATION
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Dates
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Enumeration Date | 04/05/2006
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Last Update Date | 04/04/2013
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Provider Practice Location Address
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Address Line | 14302 NEMO COURT
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City | CORPUS CHRISTI
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State | TX
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Zip | 78418
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Country | US
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Telephone | 361-949-9898
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Fax | 361-949-9897
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Provider Business Mailing Address
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Address Line | PO BOX 60037
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City | CORPUS CHRISTI
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State | TX
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Zip | 78466-0037
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Country | US
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Telephone | 361-949-9898
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Fax | 361-949-9897
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Authorized Official
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Title or Position | COO
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Name | ERIC MCCLOSKEY
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Credential |
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Telephone | 361-949-9898
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 553220000
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 656670000
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License Number State | TX
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