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General NPI Number Information
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NPI Number | 1972832673
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Entity Type | Organization
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Legal Business Name | TOTAL CARE PHYSICAL THERAPY
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Dates
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Enumeration Date | 12/09/2009
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Last Update Date | 12/09/2009
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Provider Practice Location Address
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Address Line | 7838 BARLITE BLVD
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City | SAN ANTONIO
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State | TX
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Zip | 78224-1364
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Country | US
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Telephone | 210-421-1195
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 29404
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City | SAN ANTONIO
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State | TX
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Zip | 78229-0404
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Country | US
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Telephone | 210-421-1195
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Fax |
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Authorized Official
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Title or Position | LPT
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Name | AIMAN ABDULBAKI
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Credential | LPT
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Telephone | 210-639-7757
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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 | 1107431
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License Number State | TX
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