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General NPI Number Information
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NPI Number | 1376728733
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Entity Type | Organization
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Legal Business Name | HARWOOD PHYSICAL THERAPY CLINIC
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Dates
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Enumeration Date | 01/04/2008
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Last Update Date | 01/04/2008
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Provider Practice Location Address
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Address Line | 2520 HARWOOD RD STE 200
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City | BEDFORD
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State | TX
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Zip | 76021-6709
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Country | US
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Telephone | 817-267-6222
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Fax | 817-545-3488
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Provider Business Mailing Address
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Address Line | 2520 HARWOOD RD STE 200
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City | BEDFORD
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State | TX
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Zip | 76021-6709
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Country | US
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Telephone | 817-267-6222
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Fax | 817-545-3488
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. KEN COOPER
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Credential |
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Telephone | 817-267-6222
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | 102936-1
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License Number State | TX
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