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General NPI Number Information
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NPI Number | 1366497570
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Entity Type | Organization
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Legal Business Name | MOUNT PLEASANT PHYSICAL THERAPY PC
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Dates
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Enumeration Date | 05/24/2006
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Last Update Date | 06/25/2024
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Provider Practice Location Address
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Address Line | 303 N CENTER ST
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City | NEW BOSTON
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State | TX
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Zip | 75570-2918
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Country | US
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Telephone | 903-628-7700
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Fax | 903-628-7701
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Provider Business Mailing Address
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Address Line | 303 N CENTER ST
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City | NEW BOSTON
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State | TX
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Zip | 75570-2918
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Country | US
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Telephone | 903-628-7700
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Fax | 903-628-7701
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Authorized Official
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Title or Position | PT/OWNER
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Name | WADE BATCHELOR
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Credential | PT/OWNER
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Telephone | 903-628-7700
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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 | 1125979
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License Number State | TX
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