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General NPI Number Information
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NPI Number | 1902686157
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Entity Type | Organization
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Legal Business Name | RESILIENT PELVIC SOLUTIONS LLC
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Dates
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Enumeration Date | 10/04/2023
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Last Update Date | 10/10/2023
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Provider Practice Location Address
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Address Line | 2201 SPINKS RD STE 247
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City | FLOWER MOUND
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State | TX
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Zip | 75022-4499
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Country | US
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Telephone | 214-425-0236
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Fax | 469-645-2041
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Provider Business Mailing Address
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Address Line | 301 SILVERON APT 5301
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City | FLOWER MOUND
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State | TX
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Zip | 75028-4121
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Country | US
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Telephone | 646-915-2549
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Fax | 469-645-2041
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Authorized Official
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Title or Position | OWNER
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Name | AMGED GAD
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Credential | PT. DPT.
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Telephone | 646-915-2549
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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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