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General NPI Number Information
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NPI Number | 1902544422
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Entity Type | Organization
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Legal Business Name | OORDT THERAPEUTIC SERVICES, INC
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Dates
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Enumeration Date | 05/24/2022
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Last Update Date | 05/24/2022
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Provider Practice Location Address
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Address Line | 14439 NW MILITARY HWY UNIT M107
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City | SHAVANO PARK
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State | TX
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Zip | 78231-1646
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Country | US
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Telephone | 726-201-4290
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Fax | 726-201-4335
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Provider Business Mailing Address
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Address Line | 204 SHADY OAKS DR
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City | BOERNE
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State | TX
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Zip | 78006-7704
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Country | US
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Telephone | 210-954-6806
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Fax | 726-201-4335
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | DR. MARK OORDT
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Credential | PH.D.
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Telephone | 210-954-6806
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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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