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General NPI Number Information
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NPI Number | 1932962966
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Entity Type | Organization
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Legal Business Name | RECALIBRATE OSTEOPRACTIC & WELLNESS, PLLC
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Dates
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Enumeration Date | 02/01/2024
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Last Update Date | 02/18/2026
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Provider Practice Location Address
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Address Line | 2551 TEXAS AVE S STE J
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City | COLLEGE STATION
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State | TX
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Zip | 77840-5080
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Country | US
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Telephone | 903-363-3391
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Fax |
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Provider Business Mailing Address
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Address Line | 2551 TEXAS AVE S STE J
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City | COLLEGE STATION
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State | TX
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Zip | 77840-5080
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Country | US
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Telephone | 979-221-6673
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Fax | 979-859-7248
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Authorized Official
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Title or Position | OWNER
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Name | JEFFREY TATE HARTLEY
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Credential | DPT
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Telephone | 903-363-3391
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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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