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General NPI Number Information
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NPI Number | 1952633174
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Entity Type | Organization
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Legal Business Name | BABY STEPS PHYSICAL THERAPY, P.L.L.C.
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Dates
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Enumeration Date | 02/12/2010
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Last Update Date | 02/12/2010
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Provider Practice Location Address
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Address Line | 3316 N UNIVERSITY DR STE D
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City | NACOGDOCHES
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State | TX
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Zip | 75965-2607
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Country | US
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Telephone | 936-465-3380
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Fax |
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Provider Business Mailing Address
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Address Line | 3316 N UNIVERSITY DR STE D
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City | NACOGDOCHES
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State | TX
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Zip | 75965-2607
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Country | US
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Telephone | 936-465-3380
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/PHYSICAL THERAPIST
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Name | MRS. CYNTHIA ANN MELVIN
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Credential |
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Telephone | 936-465-3380
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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 | 1156460
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License Number State | TX
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