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General NPI Number Information
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NPI Number | 1013107663
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Entity Type | Organization
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Legal Business Name | VALLEY INJURY CLINIC
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Dates
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Enumeration Date | 07/30/2007
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Last Update Date | 07/30/2007
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Provider Practice Location Address
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Address Line | 1900 N EXPRESSWAY STE B2
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City | BROWNSVILLE
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State | TX
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Zip | 78521-1563
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Country | US
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Telephone | 956-544-2333
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Fax | 956-544-2339
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Provider Business Mailing Address
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Address Line | 1900 N EXPRESSWAY STE B2
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City | BROWNSVILLE
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State | TX
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Zip | 78521-1563
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Country | US
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Telephone | 956-544-2333
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Fax | 956-544-2339
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | CASSANDRA REYNA
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Credential |
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Telephone | 956-544-2333
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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 | 9297DC
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License Number State | TX
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