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General NPI Number Information
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NPI Number | 1710719760
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Entity Type | Organization
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Legal Business Name | ASCENT THERAPY GROUP, LLC
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Dates
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Enumeration Date | 08/19/2024
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Last Update Date | 12/31/2024
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Provider Practice Location Address
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Address Line | 815 S. MILAM ST.
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City | FREDERICKSBURG
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State | TX
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Zip | 78624-4789
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Country | US
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Telephone | 830-205-1470
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Fax | 210-764-0864
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Provider Business Mailing Address
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Address Line | 815 S. MILAM ST.
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City | FREDERICKSBURG
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State | TX
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Zip | 78624-4789
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Country | US
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Telephone | 830-205-1470
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Fax | 210-764-0864
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | MINDY ECKERT
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Credential | PT
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Telephone | 806-570-3825
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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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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