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General NPI Number Information
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NPI Number | 1891592192
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Entity Type | Organization
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Legal Business Name | NEXT STEP MOBILE PHYSICAL THERAPY LLC
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Dates
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Enumeration Date | 02/25/2025
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Last Update Date | 02/25/2025
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Provider Practice Location Address
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Address Line | 448 FUENTE
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City | IRVING
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State | TX
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Zip | 75039-3408
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Country | US
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Telephone | 940-642-2966
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Fax |
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Provider Business Mailing Address
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Address Line | 448 FUENTE
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City | IRVING
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State | TX
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Zip | 75039-3408
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Country | US
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Telephone | 940-642-2966
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MR. JERROD TYLER MELENDEZ
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Credential | PTA
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Telephone | 940-642-2966
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251E1200X
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Taxonomy Name | Ergonomics Physical Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2251G0304X
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Taxonomy Name | Geriatric Physical Therapist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number |
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License Number State |
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