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General NPI Number Information
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NPI Number | 1548852288
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Entity Type | Organization
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Legal Business Name | DALLAS PELVIC HEALTH
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Dates
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Enumeration Date | 02/04/2021
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Last Update Date | 02/04/2021
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Provider Practice Location Address
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Address Line | 6711 ELM ST STE B
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City | FRISCO
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State | TX
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Zip | 75034-4130
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Country | US
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Telephone | 832-964-4738
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Fax |
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Provider Business Mailing Address
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Address Line | 320 ANDRE DR
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City | IRVING
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State | TX
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Zip | 75063-5346
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Country | US
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Telephone | 832-964-4738
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Fax |
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Authorized Official
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Title or Position | DR.
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Name | CHELSEA HARKINS
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Credential | DPT
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Telephone | 832-964-4738
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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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