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General NPI Number Information
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NPI Number | 1386238814
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Entity Type | Organization
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Legal Business Name | ECHO SPORTS PHYSICAL THERAPY
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Dates
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Enumeration Date | 02/25/2021
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Last Update Date | 08/25/2025
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Provider Practice Location Address
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Address Line | 3825 NW 166TH ST STE D6
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City | EDMOND
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State | OK
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Zip | 73012-9240
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Country | US
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Telephone | 405-215-9002
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Fax | 405-509-5546
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Provider Business Mailing Address
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Address Line | 1009 DRIVER LN
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City | EDMOND
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State | OK
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Zip | 73025-1823
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Country | US
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Telephone | 405-816-7075
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Fax |
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Authorized Official
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Title or Position | PHYSICAL THERAPY/OWNER
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Name | STEVE JAMES CARLIN
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Credential |
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Telephone | 405-215-9002
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251S0007X
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Taxonomy Name | Sports Physical Therapist
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License Number |
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License Number State |
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