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General NPI Number Information
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NPI Number | 1669699492
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Entity Type | Organization
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Legal Business Name | MAKE TODAY COUNT INC
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Dates
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Enumeration Date | 04/20/2007
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Last Update Date | 01/31/2008
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Provider Practice Location Address
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Address Line | 2312 N HWY 281
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City | MARBLE FALLS
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State | TX
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Zip | 78654-4360
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Country | US
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Telephone | 830-693-0145
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Fax | 830-693-4097
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Provider Business Mailing Address
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Address Line | PO BOX 476
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City | MARBLE FALLS
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State | TX
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Zip | 78654-0476
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Country | US
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Telephone | 830-693-0145
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Fax | 830-693-4097
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Authorized Official
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Title or Position | PRESIDENT
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Name | RUSSELL H PANGBORN
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Credential | PT
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Telephone | 830-693-0145
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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 | 1084135
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License Number State | TX
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