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General NPI Number Information
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NPI Number | 1659640928
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Entity Type | Organization
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Legal Business Name | MANUAL PHYSICAL THERAPY SPECIALISTS LLC
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Dates
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Enumeration Date | 12/15/2011
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Last Update Date | 09/15/2015
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Provider Practice Location Address
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Address Line | 1421 N. LEE TREVINO DR. SUITE B2A
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City | EL PASO
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State | TX
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Zip | 79936
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Country | US
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Telephone | 915-591-0243
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Fax | 915-591-0256
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Provider Business Mailing Address
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Address Line | 1421 N LEE TREVINO DR SUITE B2A
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City | EL PASO
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State | TX
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Zip | 79936-6463
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Country | US
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Telephone | 915-591-0243
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Fax | 915-591-0256
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Authorized Official
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Title or Position | OWNER
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Name | MARCOS A PARGA
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Credential | PT
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Telephone | 915-591-0243
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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 | 1179939
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License Number State | TX
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