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General NPI Number Information
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NPI Number | 1659975563
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Entity Type | Organization
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Legal Business Name | VITAL STEPS THERAPY, LLC
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Dates
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Enumeration Date | 11/23/2020
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Last Update Date | 11/24/2020
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Provider Practice Location Address
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Address Line | 120 SUMMER LOOP
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City | KERRVILLE
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State | TX
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Zip | 78028-4335
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Country | US
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Telephone | 909-803-7120
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Fax |
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Provider Business Mailing Address
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Address Line | 120 SUMMER LOOP
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City | KERRVILLE
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State | TX
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Zip | 78028-4335
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Country | US
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Telephone | 909-803-7120
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DAVID RUGGLES
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Credential | OTR/L
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Telephone | 909-803-7120
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 225XP0019X
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Taxonomy Name | Physical Rehabilitation Occupational Therapist
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License Number |
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License Number State |
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