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General NPI Number Information
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NPI Number | 1457302697
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Entity Type | Organization
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Legal Business Name | CENTER FOR BALANCE & NEUROLOGICAL PHYSICAL THERAPY LLC
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Dates
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Enumeration Date | 05/12/2006
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Last Update Date | 02/11/2011
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Provider Practice Location Address
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Address Line | 4141 SOUTHWEST FWY SUITE 100
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City | HOUSTON
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State | TX
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Zip | 77027-7313
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Country | US
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Telephone | 713-669-0042
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Fax | 713-223-1801
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Provider Business Mailing Address
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Address Line | 4141 SOUTHWEST FWY SUITE 100
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City | HOUSTON
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State | TX
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Zip | 77027-7313
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Country | US
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Telephone | 713-669-0042
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Fax | 713-223-1801
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | MRS. DEBBIE K LEE
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Credential | PT
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Telephone | 713-669-0042
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251N0400X
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Taxonomy Name | Neurology Physical Therapist
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License Number | 1159888
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 2251N0400X
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Taxonomy Name | Neurology Physical Therapist
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License Number | 1113769
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 2251N0400X
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Taxonomy Name | Neurology Physical Therapist
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License Number | 1167260
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 225XN1300X
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Taxonomy Name | Neurorehabilitation Occupational Therapist
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License Number | 107939
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License Number State | TX
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Taxonomy #5
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 1144210
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License Number State | TX
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