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General NPI Number Information
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NPI Number | 1003240326
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Entity Type | Organization
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Legal Business Name | ST. ANTHONYS REHAB & WELLNESS CENTER
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Dates
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Enumeration Date | 08/22/2013
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Last Update Date | 08/22/2013
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Provider Practice Location Address
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Address Line | 5406 AIRLINE DR F1
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City | HOUSTON
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State | TX
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Zip | 77076
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Country | US
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Telephone | 713-695-6200
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Fax | 713-695-6126
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Provider Business Mailing Address
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Address Line | 5406 AIRLINE DR F1
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City | HOUSTON
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State | TX
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Zip | 77076
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | HENRY ALLEN GONZALES
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Credential |
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Telephone | 281-995-2025
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NX0100X
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Taxonomy Name | Occupational Health Chiropractor
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License Number |
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License Number State |
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