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General NPI Number Information
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NPI Number | 1427190545
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Entity Type | Organization
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Legal Business Name | HARDEN THERAPY LLC
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Dates
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Enumeration Date | 02/13/2007
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Last Update Date | 07/16/2009
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Provider Practice Location Address
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Address Line | 501 S AUSTIN AVE SUITE 1310
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City | GEORGETOWN
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State | TX
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Zip | 78626-5639
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Country | US
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Telephone | 512-864-6050
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Fax | 512-869-8157
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Provider Business Mailing Address
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Address Line | 501 S AUSTIN AVE SUITE 1310
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City | GEORGETOWN
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State | TX
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Zip | 78626-5639
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Country | US
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Telephone | 512-864-6050
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Fax | 512-869-8157
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Authorized Official
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Title or Position | PRESIDENT
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Name | TRICIA FOX
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Credential |
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Telephone | 512-864-6051
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0401X
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Taxonomy Name | Comprehensive Outpatient Rehabilitation Facility (CORF)
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License Number | 553120000
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 261QR0401X
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Taxonomy Name | Comprehensive Outpatient Rehabilitation Facility (CORF)
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License Number | 656380000
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 261QR0401X
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Taxonomy Name | Comprehensive Outpatient Rehabilitation Facility (CORF)
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License Number | OT553120000
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 261QR0401X
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Taxonomy Name | Comprehensive Outpatient Rehabilitation Facility (CORF)
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License Number | PT656380000
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License Number State | TX
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