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General NPI Number Information
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NPI Number | 1831508191
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Entity Type | Organization
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Legal Business Name | CB WEST, LLC
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Dates
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Enumeration Date | 08/11/2014
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Last Update Date | 11/27/2022
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Provider Practice Location Address
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Address Line | 17951 I 45 S
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City | SHENANDOAH
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State | TX
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Zip | 77385-8708
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Country | US
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Telephone | 832-702-9909
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Fax |
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Provider Business Mailing Address
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Address Line | 114 S FLICKERING SUN CIR
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City | THE WOODLANDS
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State | TX
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Zip | 77382-5793
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Country | US
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Telephone | 832-702-9909
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. CODY WEST
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Credential | PT
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Telephone | 832-702-9909
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | 674970000
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License Number State | TX
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