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General NPI Number Information
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NPI Number | 1992125447
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Entity Type | Organization
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Legal Business Name | XZACT THERAPY AND AQUATICS LLC
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Dates
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Enumeration Date | 04/23/2014
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Last Update Date | 09/15/2022
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Provider Practice Location Address
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Address Line | 1675 NE LOOP 286
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City | PARIS
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State | TX
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Zip | 75460-2219
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Country | US
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Telephone | 903-782-9922
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Fax | 903-784-8384
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Provider Business Mailing Address
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Address Line | 1675 NE LOOP 286
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City | PARIS
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State | TX
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Zip | 75460-2219
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Country | US
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Telephone | 903-782-9922
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Fax | 903-784-8384
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Authorized Official
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Title or Position | PRESIDENT
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Name | ZACHARY S MICHAEL
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Credential |
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Telephone | 903-782-9922
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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