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General NPI Number Information
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NPI Number | 1871248419
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Entity Type | Organization
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Legal Business Name | N1 SPORTS REHAB & PERFORMANCE
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Dates
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Enumeration Date | 02/12/2022
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Last Update Date | 02/12/2022
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Provider Practice Location Address
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Address Line | 1904 S BAGDAD RD STE 4
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City | LEANDER
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State | TX
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Zip | 78641-2866
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Country | US
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Telephone | 585-708-9242
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Fax |
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Provider Business Mailing Address
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Address Line | 400 RAGING RIVER RD
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City | CEDAR PARK
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State | TX
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Zip | 78613-3171
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Country | US
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Telephone | 201-723-6220
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Fax |
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Authorized Official
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Title or Position | PHYSICAL THERAPIST
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Name | DR. NEIL B SHETH
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Credential | DPT
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Telephone | 201-723-6220
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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 |
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License Number State |
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