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General NPI Number Information
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NPI Number | 1972093029
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Entity Type | Organization
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Legal Business Name | CONQUER FITNESS AND PERFORMANCE LLC
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Dates
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Enumeration Date | 05/15/2018
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Last Update Date | 01/22/2020
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Provider Practice Location Address
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Address Line | 4681 OHIO DR STE 110
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City | FRISCO
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State | TX
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Zip | 75035-6014
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Country | US
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Telephone | 469-305-2598
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Fax |
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Provider Business Mailing Address
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Address Line | 4681 OHIO DR STE 110
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City | FRISCO
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State | TX
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Zip | 75035-6014
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Country | US
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Telephone | 469-305-2598
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Fax |
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Authorized Official
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Title or Position | OWNER, PHYSICAL THERAPIST
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Name | JOHN DOUGHERTY IV
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Credential | PT, DPT
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Telephone | 469-305-2598
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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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