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General NPI Number Information
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NPI Number | 1437201308
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Entity Type | Organization
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Legal Business Name | KAUFMAN PHYSICAL THERAPY AND REHABILITATION
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Dates
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Enumeration Date | 01/18/2007
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Last Update Date | 04/01/2013
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Provider Practice Location Address
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Address Line | 1008 E US HIGHWAY 175 SUITE B
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City | CRANDALL
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State | TX
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Zip | 75114-2545
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Country | US
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Telephone | 972-932-8599
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Fax | 972-932-8571
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Provider Business Mailing Address
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Address Line | PO BOX 337
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City | KAUFMAN
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State | TX
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Zip | 75142-0337
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Country | US
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Telephone | 972-932-8599
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Fax | 972-932-8571
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. REZA NABAVI
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Credential | P.T.
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Telephone | 972-932-8599
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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 | 6056104
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License Number State | TX
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