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NPI 1972963742

NPI 1972963742 : MELODY COATES PT, DPT : LANTANA, TX

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General NPI Number Information
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    NPI Number           |    1972963742
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    Entity Type          |    Individual 
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    Provider Name        |    MELODY COATES PT, DPT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    03/07/2016
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    Last Update Date     |    02/13/2025
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Provider Practice Location Address
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    Address Line         |    9450 BLANCO DRIVE 
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    City                 |    LANTANA
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    State                |    TX
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    Zip                  |    76226
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    Country              |    US
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    Telephone            |    214-466-2081
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    Fax                  |    214-785-6913
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Provider Business Mailing Address
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    Address Line         |    9450 BLANCO DR 
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    City                 |    LANTANA
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    State                |    TX
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    Zip                  |    76226-7202
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    Country              |    US
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    Telephone            |    817-455-2600
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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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       |    1271690
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    License Number State |    TX
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