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General NPI Number Information
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NPI Number | 1447658778
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Entity Type | Organization
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Legal Business Name | NOVEL PHYSICAL THERAPY AND WELLNESS
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Dates
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Enumeration Date | 12/18/2014
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Last Update Date | 12/18/2014
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Provider Practice Location Address
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Address Line | 11626 ROYAL OAKS VW
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City | HOUSTON
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State | TX
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Zip | 77082-2842
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Country | US
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Telephone | 281-459-0098
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Fax |
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Provider Business Mailing Address
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Address Line | 11626 ROYAL OAKS VW
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City | HOUSTON
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State | TX
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Zip | 77082-2842
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Country | US
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Telephone | 281-459-0098
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Fax |
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Authorized Official
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Title or Position | PHYSICAL THERAPIST
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Name | DR. ZAHRA KADIVAR
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Credential | PT
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Telephone | 281-459-0098
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | 1224460
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License Number State | TX
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