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General NPI Number Information
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NPI Number | 1497098040
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Entity Type | Organization
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Legal Business Name | CONCEPT PHYSICAL THERAPY LLC
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Dates
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Enumeration Date | 04/02/2013
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Last Update Date | 04/23/2013
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Provider Practice Location Address
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Address Line | 2802 GARTH RD SUITE 110
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City | BAYTOWN
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State | TX
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Zip | 77521-3900
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Country | US
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Telephone | 713-936-9882
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Fax | 713-429-1175
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Provider Business Mailing Address
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Address Line | 2802 GARTH RD SUITE 110
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City | BAYTOWN
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State | TX
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Zip | 77521-3900
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Country | US
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Telephone | 713-936-9882
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Fax | 713-429-1175
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | RACHELLE P BAUM
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Credential | P.T.
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Telephone | 281-736-8044
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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 |
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License Number State |
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