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General NPI Number Information
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NPI Number | 1003842642
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Entity Type | Organization
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Legal Business Name | BAY AREA REHABILITATION CENTER
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Dates
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Enumeration Date | 06/24/2006
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Last Update Date | 03/20/2025
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Provider Practice Location Address
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Address Line | 5313 DECKER DR
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City | BAYTOWN
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State | TX
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Zip | 77520-1413
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Country | US
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Telephone | 281-838-4477
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Fax | 281-838-3465
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Provider Business Mailing Address
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Address Line | 5313 DECKER DR
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City | BAYTOWN
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State | TX
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Zip | 77520-1413
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Country | US
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Telephone | 281-838-4477
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Fax | 281-838-3465
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | KIMBERLY WATSON
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Credential |
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Telephone | 281-838-4477
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD1600X
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Taxonomy Name | Developmental Disabilities Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QR0401X
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Taxonomy Name | Comprehensive Outpatient Rehabilitation Facility (CORF)
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License Number | 6052400
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number |
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License Number State |
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