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General NPI Number Information
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NPI Number | 1821730078
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Entity Type | Organization
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Legal Business Name | PELVIS POWER PT, LLC
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Dates
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Enumeration Date | 04/08/2022
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Last Update Date | 08/24/2022
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Provider Practice Location Address
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Address Line | 600 W 6TH ST STE 454
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City | FORT WORTH
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State | TX
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Zip | 76102-3684
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Country | US
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Telephone | 469-443-4880
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Fax | 469-608-8796
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Provider Business Mailing Address
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Address Line | 1106 DICKENS CT
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City | ARLINGTON
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State | TX
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Zip | 76015-3506
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Country | US
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Telephone | 469-443-4880
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Fax | 469-608-8796
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Authorized Official
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Title or Position | CEO/PHYSICAL THERAPSIT
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Name | ALEXIA HARRIGAN
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Credential | PT, DPT
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Telephone | 469-443-4880
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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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