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General NPI Number Information
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NPI Number | 1568601847
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Entity Type | Organization
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Legal Business Name | KINGWOOD PHYSICAL THERAPY LTD
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Dates
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Enumeration Date | 02/11/2009
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Last Update Date | 04/23/2010
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Provider Practice Location Address
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Address Line | 21301 KUYKENDAHL RD SUITE B
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City | SPRING
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State | TX
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Zip | 77379-2611
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Country | US
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Telephone | 281-379-2102
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Fax | 381-379-1760
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Provider Business Mailing Address
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Address Line | 21301 KUYKENDAHL RD SUITE B
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City | SPRING
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State | TX
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Zip | 77379-2611
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Country | US
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Telephone | 281-379-2102
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Fax | 381-379-1760
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Authorized Official
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Title or Position | VP, AUTHORIZED OFFICIAL
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Name | CHRISTOPHER D CORRIGAN
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Credential | JD
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Telephone | 713-297-7000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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