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General NPI Number Information
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NPI Number | 1609935477
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Entity Type | Organization
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Legal Business Name | TERRY REHABILITATION & TESTING
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Dates
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Enumeration Date | 12/08/2006
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Last Update Date | 07/21/2009
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Provider Practice Location Address
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Address Line | 1428 W HEBRON PKWY SUITE 120
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City | CARROLLTON
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State | TX
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Zip | 75010-6345
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Country | US
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Telephone | 972-939-6501
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Fax | 866-451-0585
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Provider Business Mailing Address
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Address Line | PO BOX 117213
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City | CARROLLTON
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State | TX
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Zip | 75011-7213
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Country | US
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Telephone | 972-939-6501
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Fax | 866-451-0585
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Authorized Official
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Title or Position | OWNER
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Name | MR. GUY L TERRY
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Credential | PT, OCS
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Telephone | 972-939-6501
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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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