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General NPI Number Information
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NPI Number | 1982746830
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Entity Type | Organization
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Legal Business Name | T-STAR, PC
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Dates
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Enumeration Date | 02/13/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4610 N GARFIELD ST STE. B-5
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City | MIDLAND
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State | TX
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Zip | 79705-2663
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Country | US
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Telephone | 432-570-8782
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Fax | 432-683-8476
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Provider Business Mailing Address
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Address Line | 1563 E 49TH ST
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City | ODESSA
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State | TX
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Zip | 79762-4401
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Country | US
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Telephone | 432-570-8782
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Fax |
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Authorized Official
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Title or Position | PT
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Name | CHRIS PHILLIPS
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Credential |
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Telephone | 432-570-8782
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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 | 1114411
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License Number State | TX
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