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General NPI Number Information
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NPI Number | 1881796423
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Entity Type | Individual
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Provider Name | MELINDA ELIZABETH CANTU P.T.
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Gender | Female
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Dates
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Enumeration Date | 09/03/2006
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Last Update Date | 05/02/2025
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Provider Practice Location Address
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Address Line | 2011 N COLLINS BLVD # 601
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City | RICHARDSON
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State | TX
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Zip | 75080-2636
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Country | US
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Telephone | 214-734-2046
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Fax | 972-429-1145
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Provider Business Mailing Address
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Address Line | 809 WOODBRIDGE PKWY # 500-414
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City | WYLIE
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State | TX
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Zip | 75098-7148
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Country | US
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Telephone | 214-734-2046
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Fax | 972-429-1145
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 1152869
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License Number State | TX
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