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General NPI Number Information
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NPI Number | 1003025305
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Entity Type | Organization
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Legal Business Name | JOHN WEST INDUSTRIAL REHAB LLC
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Dates
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Enumeration Date | 05/22/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1933 EAST AVE
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City | KATY
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State | TX
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Zip | 77493-1646
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Country | US
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Telephone | 713-790-1221
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Fax |
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Provider Business Mailing Address
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Address Line | 2305 SAN FELIPE ST
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City | HOUSTON
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State | TX
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Zip | 77019-3401
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Country | US
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Telephone | 713-790-1221
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. JOHN WEST
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Credential | PT
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Telephone | 713-790-1221
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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