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General NPI Number Information
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NPI Number | 1851892780
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Entity Type | Organization
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Legal Business Name | CENTRAL PHYSICAL THERAPY AND REHABILITATION INC
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Dates
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Enumeration Date | 02/26/2018
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Last Update Date | 04/19/2018
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Provider Practice Location Address
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Address Line | 746 ELM ST
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City | GRAHAM
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State | TX
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Zip | 76450-3019
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Country | US
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Telephone | 940-549-9400
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Fax | 940-779-2277
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Provider Business Mailing Address
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Address Line | 1549 HUMMINGBIRD LN
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City | GRAFORD
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State | TX
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Zip | 76449-3178
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Country | US
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Telephone | 432-349-3891
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Fax | 940-779-2277
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Authorized Official
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Title or Position | OWNER
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Name | DR. BOB M HOLLANDER
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Credential | D.C.
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Telephone | 940-549-9400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 2985
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License Number State | TX
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