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General NPI Number Information
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NPI Number | 1881209807
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Entity Type | Organization
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Legal Business Name | QUINTESSENCE PHYSICAL THERAPY, PLLC
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Dates
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Enumeration Date | 09/15/2020
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Last Update Date | 10/02/2024
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Provider Practice Location Address
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Address Line | 12335 HYMEADOW DR STE 450
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City | AUSTIN
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State | TX
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Zip | 78750-1952
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Country | US
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Telephone | 512-200-3945
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Fax | 855-743-0045
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Provider Business Mailing Address
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Address Line | 12335 HYMEADOW DR STE 450
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City | AUSTIN
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State | TX
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Zip | 78750-1952
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Country | US
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Telephone | 512-200-3945
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Fax | 855-743-0045
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Authorized Official
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Title or Position | PHYSICAL THERAPIST/OWNER
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Name | SWAPNALI CHAUDHARY
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Credential |
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Telephone | 512-200-3945
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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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