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NPI 1477130466

NPI 1477130466 : TOP GRADE PHYSICAL THERAPY LLC : MCALLEN, TX

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General NPI Number Information
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    NPI Number           |    1477130466
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    Entity Type          |    Organization 
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    Legal Business Name  |    TOP GRADE PHYSICAL THERAPY LLC 
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Dates
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    Enumeration Date     |    03/25/2021
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    Last Update Date     |    08/13/2021
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Provider Practice Location Address
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    Address Line         |    2801 E EXPRESSWAY 83 STE 210 
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    City                 |    MCALLEN
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    State                |    TX
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    Zip                  |    78503-8329
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    Country              |    US
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    Telephone            |    956-598-4934
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    Fax                  |    956-338-5790
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Provider Business Mailing Address
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    Address Line         |    4402 SIERRA DR 
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    City                 |    MISSION
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    State                |    TX
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    Zip                  |    78573-0409
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    Country              |    US
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    Telephone            |    956-432-5663
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    Fax                  |    
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Authorized Official
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    Title or Position    |    CEO/OWNER
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    Name                 |    DR. RUFINO  GUTIERREZ JR.
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    Credential           |    PT, DPT
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    Telephone            |    956-432-5663
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    2251X0800X
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    Taxonomy Name        |    Orthopedic Physical Therapist
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    License Number       |    
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    License Number State |    
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