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General NPI Number Information
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NPI Number | 1023630878
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Entity Type | Organization
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Legal Business Name | SUNNYVILLE REHAB LLC
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Dates
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Enumeration Date | 05/15/2020
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Last Update Date | 05/01/2024
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Provider Practice Location Address
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Address Line | 2105 W MILE 3 RD STE 7
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City | MISSION
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State | TX
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Zip | 78573-6732
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Country | US
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Telephone | 956-766-7083
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Fax | 956-766-7084
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Provider Business Mailing Address
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Address Line | 1405 SAN FELIPE DR
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City | MISSION
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State | TX
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Zip | 78572-4377
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Country | US
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Telephone | 956-600-7705
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Fax | 956-766-7824
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Authorized Official
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Title or Position | SOLE PROPRIETOR
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Name | LORENA ALANIS
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Credential |
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Telephone | 956-600-7705
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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