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General NPI Number Information
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NPI Number | 1750815239
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Entity Type | Organization
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Legal Business Name | COMMUNITY HEALTH & REHAB CENTRE
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Dates
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Enumeration Date | 04/12/2017
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Last Update Date | 04/12/2017
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Provider Practice Location Address
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Address Line | 2013 WELLS BRANCH PKWY SUITE 104
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City | AUSTIN
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State | TX
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Zip | 78728-6900
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Country | US
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Telephone | 512-835-6077
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Fax |
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Provider Business Mailing Address
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Address Line | 2013 WELLS BRANCH PKWY SUITE 104
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City | AUSTIN
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State | TX
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Zip | 78728-6900
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PHYSICAL THERAPIST
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Name | DR. NICOLE MARTIN
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Credential | PT, DPT
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Telephone | 415-999-8625
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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 | 1287159
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License Number State | TX
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