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General NPI Number Information
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NPI Number | 1912409186
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Entity Type | Organization
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Legal Business Name | R AND R PHYSICAL THERAPY PLLC
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Dates
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Enumeration Date | 03/05/2018
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Last Update Date | 03/05/2018
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Provider Practice Location Address
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Address Line | 951 W PIPELINE RD STE 104
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City | HURST
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State | TX
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Zip | 76053-4834
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Country | US
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Telephone | 817-918-3667
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Fax | 817-918-3667
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Provider Business Mailing Address
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Address Line | 1402 WOODRIDGE CIR
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City | EULESS
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State | TX
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Zip | 76040-6439
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Country | US
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Telephone | 817-301-2622
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Fax | 817-918-3667
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Authorized Official
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Title or Position | OWNER/PHYSICAL THERAPIST
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Name | MR. JEFFREY CHARLES RAU
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Credential | PT MPT CFMT FAAOMPT
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Telephone | 817-918-3667
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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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