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General NPI Number Information
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NPI Number | 1659250777
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Entity Type | Organization
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Legal Business Name | INJURY TO OPTIMAL PERFORMANCE
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Dates
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Enumeration Date | 09/02/2025
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Last Update Date | 09/02/2025
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Provider Practice Location Address
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Address Line | 5614 126TH ST BLDG C
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City | LUBBOCK
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State | TX
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Zip | 79424-6895
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Country | US
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Telephone | 480-298-8230
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Fax | 806-313-1946
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Provider Business Mailing Address
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Address Line | 12206 NORFOLK AVE # A
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City | LUBBOCK
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State | TX
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Zip | 79423-7954
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Country | US
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Telephone | 806-516-5722
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. FRANK PEREZ
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Credential | ATC
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Telephone | 806-516-5722
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251S0007X
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Taxonomy Name | Sports Physical Therapist
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License Number |
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License Number State |
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