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General NPI Number Information
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NPI Number | 1891403887
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Entity Type | Organization
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Legal Business Name | DASH PHYSICAL THERAPY AND SPORTS PERFORMANCE LLC
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Dates
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Enumeration Date | 11/09/2022
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Last Update Date | 08/06/2025
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Provider Practice Location Address
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Address Line | 700 WESTERN AVE
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City | ANGLETON
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State | TX
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Zip | 77515-4250
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Country | US
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Telephone | 979-429-3288
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Fax | 979-859-7181
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Provider Business Mailing Address
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Address Line | 700 WESTERN AVE
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City | ANGLETON
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State | TX
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Zip | 77515-4250
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Country | US
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Telephone | 979-824-0553
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Fax | 979-859-7181
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Authorized Official
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Title or Position | PRINCIPAL MANAGER
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Name | BAILEY NICHOLE HAMMACK
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Credential | PT, DPT
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Telephone | 979-824-0553
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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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