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General NPI Number Information
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NPI Number | 1952576035
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Entity Type | Organization
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Legal Business Name | SPORTS INSTITUTE OF PHYSICAL THERAPY
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Dates
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Enumeration Date | 04/29/2008
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Last Update Date | 04/29/2008
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Provider Practice Location Address
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Address Line | 4801 WILSON RD SUITE 1000
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City | HUMBLE
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State | TX
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Zip | 77396-1974
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Country | US
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Telephone | 281-441-5082
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Fax | 281-441-5084
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Provider Business Mailing Address
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Address Line | 7155 ATASCOCITA RD
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City | HUMBLE
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State | TX
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Zip | 77346-5014
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Country | US
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Telephone | 281-812-8304
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Fax | 281-812-8306
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Authorized Official
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Title or Position | ACCOUNTING ADMIN
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Name | MRS. KAREE SCHMIDT
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Credential |
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Telephone | 281-812-8304
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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 | 643760000
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License Number State | TX
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