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General NPI Number Information
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NPI Number | 1619285699
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Entity Type | Organization
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Legal Business Name | JOINT MECHANICS PHYSICAL THERAPY PLLC
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Dates
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Enumeration Date | 09/23/2010
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Last Update Date | 11/26/2013
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Provider Practice Location Address
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Address Line | 4413 82ND ST. SUITE 107
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City | LUBBOCK
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State | TX
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Zip | 79424-3366
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Country | US
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Telephone | 806-319-7488
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Fax | 806-368-5935
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Provider Business Mailing Address
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Address Line | 4413 82ND ST. SUITE 107
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City | LUBBOCK
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State | TX
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Zip | 79424-3366
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Country | US
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Telephone | 806-319-7488
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Fax | 806-368-5935
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Authorized Official
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Title or Position | BUSINESS MANAGER
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Name | MARSHALL REEDER
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Credential |
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Telephone | 806-319-7488
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 1135481
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License Number State | TX
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