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General NPI Number Information
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NPI Number | 1013264076
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Entity Type | Organization
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Legal Business Name | RIO REHAB FOR CHILDREN, PLLC
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Dates
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Enumeration Date | 08/09/2012
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Last Update Date | 08/09/2012
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Provider Practice Location Address
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Address Line | 5346 E US HIGHWAY 83 UNIT 2 BUILDING A
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City | RIO GRANDE CITY
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State | TX
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Zip | 78582-9471
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Country | US
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Telephone | 956-599-5280
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Fax | 956-600-7426
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Provider Business Mailing Address
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Address Line | 5346 E US HIGHWAY 83 UNIT 2 BUILDING A
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City | RIO GRANDE CITY
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State | TX
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Zip | 78582-9471
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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 | PHYSICAL THERAPY
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Name | MRS. VERONICA PENA BARRERA
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Credential | PT, DPT
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Telephone | 956-599-5280
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | 1206976
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License Number State | TX
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