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General NPI Number Information
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NPI Number | 1831587021
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Entity Type | Organization
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Legal Business Name | PRO MOTION PHYSICAL THERAPY LLC
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Dates
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Enumeration Date | 12/23/2014
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Last Update Date | 06/20/2018
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Provider Practice Location Address
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Address Line | 1807 W SLAUGHTER LN STE 475
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City | AUSTIN
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State | TX
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Zip | 78748-6267
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Country | US
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Telephone | 512-520-4242
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Fax | 512-782-0287
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Provider Business Mailing Address
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Address Line | 1807 W SLAUGHTER LN STE 475
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City | AUSTIN
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State | TX
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Zip | 78748-6267
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Country | US
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Telephone | 512-520-4242
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Fax | 512-782-0287
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Authorized Official
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Title or Position | PRESIDENT/PHYSICAL THERAPIST
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Name | DR. JAMES EDWARD WERLING
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Credential | P.T, D.P.T, M.T.C
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Telephone | 512-520-4242
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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 | 1183802
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License Number State | TX
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