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General NPI Number Information
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NPI Number | 1417292327
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Entity Type | Organization
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Legal Business Name | KINETIC PHYSICAL THERAPY, INC.
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Dates
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Enumeration Date | 12/04/2012
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Last Update Date | 05/06/2013
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Provider Practice Location Address
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Address Line | 7713 SAN JACINTO PL SUITE 200
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City | PLANO
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State | TX
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Zip | 75024-3215
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Country | US
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Telephone | 972-618-9900
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Fax | 972-618-9909
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Provider Business Mailing Address
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Address Line | 2400 HIGHWAY 287 N SUITE 108
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City | MANSFIELD
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State | TX
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Zip | 76063-4828
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Country | US
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Telephone | 972-618-9900
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Fax | 972-618-9909
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MR. AARON PIERSON
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Credential | PT, DPT, CFMT
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Telephone | 972-618-9900
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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 |
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License Number State |
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