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General NPI Number Information
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NPI Number | 1861200800
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Entity Type | Organization
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Legal Business Name | METTA HEALTH INSTITUTE LLC
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Dates
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Enumeration Date | 12/23/2024
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Last Update Date | 12/23/2024
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Provider Practice Location Address
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Address Line | 4801 SPRING VALLEY RD STE 113
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City | DALLAS
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State | TX
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Zip | 75244-3966
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Country | US
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Telephone | 214-744-3710
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Fax |
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Provider Business Mailing Address
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Address Line | 2550 KLONDIKE DR
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City | DALLAS
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State | TX
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Zip | 75228-4020
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Country | US
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Telephone | 214-991-0132
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. DAN HARTMANN
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Credential | DC
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Telephone | 214-991-0132
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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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