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General NPI Number Information
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NPI Number | 1013260108
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Entity Type | Organization
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Legal Business Name | TEXAS WORK RECOVERY PLLC
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Dates
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Enumeration Date | 10/26/2012
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Last Update Date | 10/26/2012
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Provider Practice Location Address
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Address Line | 5535 MEMORIAL DR SUITE F-816
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City | HOUSTON
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State | TX
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Zip | 77007-8021
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Country | US
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Telephone | 832-377-8620
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Fax |
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Provider Business Mailing Address
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Address Line | 5535 MEMORIAL DR SUITE F-816
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City | HOUSTON
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State | TX
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Zip | 77007-8021
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Country | US
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Telephone | 832-377-8620
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Fax |
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | ANKUR D MEHTA
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Credential | D.O.
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Telephone | 832-377-8620
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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 | P00097
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License Number State | TX
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