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General NPI Number Information
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NPI Number | 1720070519
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Entity Type | Organization
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Legal Business Name | HAND THERAPY SERVICES OF CORPUS CHRISTI P C
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Dates
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Enumeration Date | 08/17/2005
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Last Update Date | 08/26/2008
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Provider Practice Location Address
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Address Line | 5440 EVERHART RD ST 1
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City | CORPUS CHRISTI
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State | TX
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Zip | 78411-4838
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Country | US
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Telephone | 361-992-1435
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Fax | 361-992-1933
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Provider Business Mailing Address
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Address Line | 5440 EVERHART RD ST 1
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City | CORPUS CHRISTI
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State | TX
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Zip | 78411-4838
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Country | US
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Telephone | 361-992-1435
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Fax | 361-992-1933
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | DEBORAH SHEA
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Credential | PHYSICAL THERAPIST
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Telephone | 361-992-1435
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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 | 512270000
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 225XH1200X
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Taxonomy Name | Hand Occupational Therapist
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License Number | 512270000
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License Number State | TX
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