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General NPI Number Information
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NPI Number | 1538878038
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Entity Type | Organization
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Legal Business Name | BCT THERAPY MANAGEMENT LLC
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Dates
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Enumeration Date | 11/23/2022
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Last Update Date | 11/23/2022
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Provider Practice Location Address
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Address Line | 3930 GLADE RD STE 124
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City | COLLEYVILLE
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State | TX
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Zip | 76034-5932
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Country | US
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Telephone | 228-209-3371
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Fax |
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Provider Business Mailing Address
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Address Line | 732 S COPPELL RD
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City | COPPELL
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State | TX
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Zip | 75019-4511
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Country | US
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Telephone | 228-209-3371
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CAROL DOUGLAS
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Credential |
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Telephone | 214-728-9702
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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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