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General NPI Number Information
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NPI Number | 1952531154
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Entity Type | Organization
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Legal Business Name | HEALTHPRO HERITAGE REHAB & FITNESS, LLC
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Dates
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Enumeration Date | 07/22/2009
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Last Update Date | 12/01/2025
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Provider Practice Location Address
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Address Line | 359 VILLAGE COMMONS BLVD
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City | GEORGETOWN
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State | TX
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Zip | 78633-4448
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Country | US
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Telephone | 512-277-6405
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Fax | 512-277-6406
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Provider Business Mailing Address
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Address Line | 1 MARCUS DR STE 102
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City | GREENVILLE
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State | SC
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Zip | 29615-4818
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Country | US
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Telephone | 864-244-3626
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Fax |
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Authorized Official
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Title or Position | DIRECTOR LICENSING & CERTIFICATION
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Name | JULIE MCGLASSON
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Credential |
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Telephone | 615-406-3997
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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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 | 225X00000X
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Taxonomy Name | Occupational 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 | 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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