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General NPI Number Information
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NPI Number | 1790667525
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Entity Type | Organization
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Legal Business Name | BEAR PT & PILATES
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Dates
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Enumeration Date | 07/23/2025
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Last Update Date | 07/23/2025
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Provider Practice Location Address
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Address Line | 6060 N CENTRAL EXPY STE 123
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City | DALLAS
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State | TX
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Zip | 75206-5238
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Country | US
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Telephone | 972-643-8340
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Fax |
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Provider Business Mailing Address
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Address Line | 6932 SANTA MARIA LN
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City | DALLAS
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State | TX
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Zip | 75214-2848
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Country | US
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Telephone | 214-914-4204
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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 | LYNDSY NEVITT
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Credential | PT
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Telephone | 214-914-4204
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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 |
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License Number State |
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