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General NPI Number Information
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NPI Number | 1629444617
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Entity Type | Individual
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Provider Name | ELISE BJORK PT, DPT, CSCS
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Gender | Female
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Dates
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Enumeration Date | 08/13/2015
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Last Update Date | 11/27/2018
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Provider Practice Location Address
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Address Line | 4300 WESTBANK DR. STE. 210
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City | WESTLAKE HILLS
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State | TX
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Zip | 78746-6771
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Country | US
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Telephone | 512-306-8071
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Fax |
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Provider Business Mailing Address
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Address Line | 8505 N CAPITAL OF TEXAS HWY APT. 1010
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City | AUSTIN
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State | TX
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Zip | 78759-8447
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Country | US
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Telephone | 512-680-4884
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 1263016
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License Number State | TX
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