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General NPI Number Information
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NPI Number | 1568557676
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Entity Type | Organization
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Legal Business Name | DYNAMIC THERAPY, PLLC
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Dates
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Enumeration Date | 10/04/2006
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Last Update Date | 06/05/2018
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Provider Practice Location Address
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Address Line | 4409 HELSTON DR
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City | PLANO
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State | TX
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Zip | 75024
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Country | US
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Telephone | 214-566-2687
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Fax | 877-815-1985
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Provider Business Mailing Address
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Address Line | PO BOX 251236
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City | PLANO
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State | TX
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Zip | 75025-1236
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Country | US
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Telephone | 214-566-2687
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Fax | 972-943-7783
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Authorized Official
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Title or Position | OWNER
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Name | MS. REBECCA ELLEN SHMUKLER
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Credential | OTR/L
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Telephone | 214-566-2687
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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Taxonomy #3
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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 | TX
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