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General NPI Number Information
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NPI Number | 1780496844
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Entity Type | Organization
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Legal Business Name | BACK TO THE BASICS SOLUTIONS PLLC
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Dates
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Enumeration Date | 01/24/2025
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Last Update Date | 07/31/2025
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Provider Practice Location Address
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Address Line | 106 HOB O THE HILL ST
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City | GUN BARREL CITY
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State | TX
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Zip | 75156-4321
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Country | US
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Telephone | 432-640-9985
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Fax |
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Provider Business Mailing Address
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Address Line | 106 HOB O THE HILL ST
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City | GUN BARREL CITY
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State | TX
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Zip | 75156-4321
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Country | US
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Telephone | 432-640-9985
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Fax |
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Authorized Official
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Title or Position | DOCTOR OF PHYSICAL THERAPY
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Name | RENEE CATHERINE MAXWELL
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Credential | PT, DPT
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Telephone | 432-640-9985
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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