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General NPI Number Information
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NPI Number | 1790261766
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Entity Type | Organization
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Legal Business Name | WEST TEXAS PHYSIOTHERAPY
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Dates
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Enumeration Date | 07/12/2018
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Last Update Date | 07/12/2018
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Provider Practice Location Address
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Address Line | 4723 W LOOP 289
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City | LUBBOCK
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State | TX
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Zip | 79414-1422
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Country | US
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Telephone | 806-787-6605
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Fax |
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Provider Business Mailing Address
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Address Line | 4723 W LOOP 289
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City | LUBBOCK
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State | TX
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Zip | 79414-1422
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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 | BUSINESS OFFICE MANAGER
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Name | MINDY FLORES
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Credential |
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Telephone | 806-317-0283
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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