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NPI 1407309776

NPI 1407309776 : STEVEN NELSON : NEW BRAUNFELS, TX

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General NPI Number Information
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    NPI Number           |    1407309776
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    Entity Type          |    Individual 
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    Provider Name        |    STEVEN NELSON
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    08/03/2016
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    Last Update Date     |    08/02/2018
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Provider Practice Location Address
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    Address Line         |    1324 COMMON ST SUITE 307
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    City                 |    NEW BRAUNFELS
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    State                |    TX
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    Zip                  |    78130
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    Country              |    US
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    Telephone            |    830-625-7310
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    Fax                  |    830-625-3228
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Provider Business Mailing Address
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    Address Line         |    17325 BELL NORTH DR SUITE 2-B
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    City                 |    SCHERTZ
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    State                |    TX
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    Zip                  |    78154-3368
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    Country              |    US
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    Telephone            |    888-590-4002
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    Fax                  |    210-590-4585
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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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       |    1277971
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    License Number State |    TX
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