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NPI 1477703288

NPI 1477703288 : TERRY M. ROBINSON, LPT, INC. : DALLAS, TX

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General NPI Number Information
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    NPI Number           |    1477703288
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    Entity Type          |    Organization 
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    Legal Business Name  |    TERRY M. ROBINSON, LPT, INC. 
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Dates
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    Enumeration Date     |    09/29/2008
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    Last Update Date     |    09/29/2008
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Provider Practice Location Address
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    Address Line         |    8226 DOUGLAS AVE STE. 732
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    City                 |    DALLAS
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    State                |    TX
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    Zip                  |    75225-5943
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    Country              |    US
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    Telephone            |    214-368-1508
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    Fax                  |    214-368-8646
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Provider Business Mailing Address
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    Address Line         |    8226 DOUGLAS AVE STE 732 
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    City                 |    DALLAS
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    State                |    TX
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    Zip                  |    75225-5929
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    Country              |    US
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    Telephone            |    214-368-1508
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    Fax                  |    214-368-8646
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Authorized Official
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    Title or Position    |    OWNER/THERAPIST
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    Name                 |    MR. TERRY MACK ROBINSON SR.
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    Credential           |    LPT
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    Telephone            |    214-368-1508
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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       |    
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    License Number State |    
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