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General NPI Number Information
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NPI Number | 1386454510
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Entity Type | Organization
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Legal Business Name | G3O THERAPY
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Dates
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Enumeration Date | 01/09/2025
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Last Update Date | 11/18/2025
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Provider Practice Location Address
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Address Line | 14350 PROTON RD STE 230
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City | FARMERS BRANCH
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State | TX
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Zip | 75244-3511
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Country | US
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Telephone | 940-487-7712
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Fax | 940-205-4480
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Provider Business Mailing Address
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Address Line | 521 PARADISE CV
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City | SHADY SHORES
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State | TX
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Zip | 76208-5139
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Country | US
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Telephone | 972-740-2194
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Fax |
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Authorized Official
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Title or Position | OWNER/MANAGER
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Name | BETH E BERGERON
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Credential | OTR, CHT
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Telephone | 972-740-2194
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225XH1200X
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Taxonomy Name | Hand Occupational Therapist
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License Number |
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License Number State |
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