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General NPI Number Information
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NPI Number | 1972631760
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Entity Type | Organization
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Legal Business Name | CABATHERAPY SERVICES
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Dates
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Enumeration Date | 03/01/2007
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Last Update Date | 01/16/2025
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Provider Practice Location Address
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Address Line | 3818 DECKER DR
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City | BAYTOWN
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State | TX
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Zip | 77520-1662
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Country | US
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Telephone | 281-424-7557
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Fax | 281-424-7567
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Provider Business Mailing Address
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Address Line | 3818 DECKER DR
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City | BAYTOWN
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State | TX
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Zip | 77520-1662
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Country | US
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Telephone | 281-424-7557
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Fax | 281-424-7501
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Authorized Official
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Title or Position | BILLING AND CREDENTIALING MANAGER
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Name | RACHEL WARD
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Credential |
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Telephone | 281-424-7557
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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 | 652560001
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License Number State | TX
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