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General NPI Number Information
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NPI Number | 1366471450
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Entity Type | Organization
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Legal Business Name | EPIC PEDIATRIC THERAPY, LP
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Dates
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Enumeration Date | 07/01/2006
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Last Update Date | 01/27/2025
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Provider Practice Location Address
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Address Line | 915 W EXCHANGE PKWY STE 100
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City | ALLEN
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State | TX
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Zip | 75013-7018
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Country | US
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Telephone | 214-547-1571
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Fax | 817-789-6849
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Provider Business Mailing Address
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Address Line | 400 INTERSTATE NORTH PKWY SE STE 1600
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City | ATLANTA
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State | GA
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Zip | 30339-5047
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Country | US
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Telephone | 470-464-8000
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Fax | 770-248-8192
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Authorized Official
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Title or Position | CFO
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Name | MATTHEW BUCKHALTER
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Credential |
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Telephone | 470-464-8000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 013311
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number | 648140002
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number | 648140015
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number | 648140009
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License Number State | TX
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Taxonomy #5
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number | 648140006
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License Number State | TX
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Taxonomy #6
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number | 648140024
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License Number State | TX
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Taxonomy #7
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number | 648140022
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License Number State | TX
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Taxonomy #8
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number | 648140005
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License Number State | TX
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Taxonomy #9
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number | 648140023
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License Number State | TX
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Taxonomy #10
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number | 648140017
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License Number State | TX
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Taxonomy #11
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number | 648140021
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License Number State | TX
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Taxonomy #12
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number | 648140018
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License Number State | TX
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