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General NPI Number Information
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NPI Number | 1528240645
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Entity Type | Organization
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Legal Business Name | HULEN SPORTS PHYSICAL THERAPY
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Dates
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Enumeration Date | 11/30/2007
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Last Update Date | 08/31/2010
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Provider Practice Location Address
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Address Line | 3017 JOYCE DR
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City | FORT WORTH
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State | TX
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Zip | 76116-4013
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Country | US
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Telephone | 817-263-9222
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Fax | 817-838-1670
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Provider Business Mailing Address
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Address Line | 3017 JOYCE DR
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City | FORT WORTH
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State | TX
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Zip | 76116-4013
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Country | US
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Telephone | 817-263-9222
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Fax | 817-838-1670
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | MR. CHRIS S HOHMANN
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Credential | MPT
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Telephone | 817-263-9222
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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 | 1118321
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License Number State | TX
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