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General NPI Number Information
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NPI Number | 1528572971
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Entity Type | Organization
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Legal Business Name | GET UP & GO THERAPY, INC.
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Dates
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Enumeration Date | 11/21/2017
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Last Update Date | 11/21/2017
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Provider Practice Location Address
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Address Line | 4280 TRINITY MILLS RD
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City | DALLAS
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State | TX
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Zip | 75287-7600
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Country | US
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Telephone | 954-559-9228
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Fax | 561-907-4958
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Provider Business Mailing Address
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Address Line | 4280 TRINITY MILLS RD APT 605
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City | DALLAS
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State | TX
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Zip | 75287-7624
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Country | US
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Telephone | 954-559-9228
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Fax | 561-907-4958
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Authorized Official
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Title or Position | CEO/ PRESIDENT
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Name | VANESSA MCCLAM
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Credential |
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Telephone | 954-559-9228
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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