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General NPI Number Information
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NPI Number | 1841812930
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Entity Type | Organization
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Legal Business Name | REMEDY THERAPY STAFFING - SAN ANTONIO PLLC
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Dates
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Enumeration Date | 05/11/2020
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Last Update Date | 05/11/2020
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Provider Practice Location Address
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Address Line | 1711 FRATE BARKER RD
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City | AUSTIN
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State | TX
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Zip | 78748-3600
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Country | US
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Telephone | 512-981-9574
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 609
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City | BUDA
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State | TX
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Zip | 78610-0609
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | KERI MICHELLE JACKSON
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Credential | PT
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Telephone | 512-981-9574
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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