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General NPI Number Information
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NPI Number | 1376160390
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Entity Type | Organization
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Legal Business Name | SWELL STEPS THERAPY
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Dates
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Enumeration Date | 06/26/2020
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Last Update Date | 09/06/2023
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Provider Practice Location Address
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Address Line | 4302 CIBOLO CREEK TRL
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City | PROSPER
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State | TX
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Zip | 75078-9797
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Country | US
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Telephone | 972-897-8176
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Fax |
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Provider Business Mailing Address
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Address Line | 4302 CIBOLO CREEK TRL
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City | PROSPER
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State | TX
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Zip | 75078-9797
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Country | US
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Telephone | 972-897-8176
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JANIE OYAKAWA
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Credential | OTR
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Telephone | 972-897-8176
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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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 |
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License Number State |
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