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General NPI Number Information
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NPI Number | 1528857521
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Entity Type | Organization
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Legal Business Name | ENRICH PHYSICAL THERAPY AND WELLNESS LLC
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Dates
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Enumeration Date | 05/05/2025
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Last Update Date | 05/05/2025
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Provider Practice Location Address
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Address Line | 9542 WITTEN DR
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City | SAN ANTONIO
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State | TX
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Zip | 78254-2179
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Country | US
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Telephone | 989-600-4142
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Fax |
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Provider Business Mailing Address
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Address Line | 26003 PARTY SLIPPERS DR
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City | SAN ANTONIO
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State | TX
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Zip | 78255-3436
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Country | US
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Telephone | 814-431-9949
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Fax |
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Authorized Official
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Title or Position | BUSINESS PARTNER
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Name | SURYANARAYANA RAJU KALIDINDI
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Credential |
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Telephone | 814-431-9949
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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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