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General NPI Number Information
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NPI Number | 1689886566
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Entity Type | Organization
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Legal Business Name | ORTHOPEDIC PT CENTERS LLC
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Dates
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Enumeration Date | 05/04/2007
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Last Update Date | 08/14/2015
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Provider Practice Location Address
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Address Line | 9150 HUEBNER RD SUITE 115
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City | SAN ANTONIO
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State | TX
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Zip | 78240-1558
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Country | US
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Telephone | 210-481-7730
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Fax | 210-481-7731
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Provider Business Mailing Address
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Address Line | 9150 HUEBNER RD SUITE 115
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City | SAN ANTONIO
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State | TX
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Zip | 78240-1558
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Country | US
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Telephone | 210-481-7730
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Fax | 210-481-7731
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. DUSTIN MCARTHUR
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Credential |
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Telephone | 210-481-7730
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 6242080001
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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