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General NPI Number Information
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NPI Number | 1821334152
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Entity Type | Organization
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Legal Business Name | COPULOS & ASSOCIATES PHYSICAL THERAPY, INC
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Dates
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Enumeration Date | 12/13/2012
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Last Update Date | 12/13/2012
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Provider Practice Location Address
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Address Line | 3220 MANOR RD
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City | AUSTIN
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State | TX
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Zip | 78723-5721
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Country | US
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Telephone | 512-291-3984
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Fax |
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Provider Business Mailing Address
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Address Line | 3220 MANOR RD
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City | AUSTIN
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State | TX
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Zip | 78723-5721
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Country | US
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Telephone | 512-291-3984
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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 | MS. CLAUDIA ERIN JOACHIM
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Credential |
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Telephone | 512-291-3984
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 347B00000X
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Taxonomy Name | Bus
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License Number |
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License Number State |
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