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General NPI Number Information
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NPI Number | 1427831684
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Entity Type | Organization
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Legal Business Name | EMPWR THERAPY
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Dates
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Enumeration Date | 08/14/2023
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Last Update Date | 08/14/2023
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Provider Practice Location Address
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Address Line | 1225 RUSHMORE DR
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City | BURLESON
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State | TX
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Zip | 76028-7083
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Country | US
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Telephone | 817-705-0894
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Fax |
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Provider Business Mailing Address
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Address Line | 1225 RUSHMORE DR
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City | BURLESON
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State | TX
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Zip | 76028-7083
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Country | US
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Telephone | 817-705-0894
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DANIELLE BLANKENSHIP
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Credential | PT, DPT, PCS
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Telephone | 817-705-0894
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251P0200X
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Taxonomy Name | Pediatric Physical Therapist
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License Number |
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License Number State |
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