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General NPI Number Information
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NPI Number | 1669251633
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Entity Type | Organization
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Legal Business Name | RTC HOME THERAPY LLC
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Dates
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Enumeration Date | 09/27/2023
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Last Update Date | 09/27/2023
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Provider Practice Location Address
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Address Line | 1902 ALAMO BOUND
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City | LEANDER
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State | TX
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Zip | 78641-8686
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Country | US
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Telephone | 512-632-8368
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2244
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City | LEANDER
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State | TX
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Zip | 78646-2244
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Country | US
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Telephone | 512-632-8368
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER/OWNER
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Name | CRISTAL L MILLER
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Credential | OTR
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Telephone | 512-632-8368
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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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 #3
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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