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General NPI Number Information
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NPI Number | 1780896605
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Entity Type | Organization
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Legal Business Name | PEAK PHYSICAL THERAPY AND SPORTS MEDICINE CENTER OF RICHARDSON PLLC
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Dates
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Enumeration Date | 05/04/2007
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Last Update Date | 07/03/2014
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Provider Practice Location Address
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Address Line | 1840 N GREENVILLE AVE STE 156
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City | RICHARDSON
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State | TX
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Zip | 75081-1874
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Country | US
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Telephone | 972-994-0434
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Fax | 972-994-0438
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Provider Business Mailing Address
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Address Line | 1840 N GREENVILLE AVE STE 156
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City | RICHARDSON
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State | TX
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Zip | 75081-1874
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Country | US
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Telephone | 972-994-0434
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Fax | 972-994-0438
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Authorized Official
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Title or Position | THERAPIST/OWNER
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Name | MR. DENNIS EUGENE MCGINTY
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Credential | PT
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Telephone | 972-994-0434
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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 | 1035285
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License Number State | TX
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