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NPI 1043068687

NPI 1043068687 : CORNER THERAPY SOLUTIONS : SAN ANTONIO, TX

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General NPI Number Information
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    NPI Number           |    1043068687
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    Entity Type          |    Organization 
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    Legal Business Name  |    CORNER THERAPY SOLUTIONS 
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Dates
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    Enumeration Date     |    05/08/2024
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    Last Update Date     |    05/08/2024
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Provider Practice Location Address
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    Address Line         |    2318 NW MILITARY HWY 
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    City                 |    SAN ANTONIO
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    State                |    TX
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    Zip                  |    78231-2539
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    Country              |    US
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    Telephone            |    210-716-0750
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    Fax                  |    210-783-9721
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Provider Business Mailing Address
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    Address Line         |    2318 NW MILITARY HWY 
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    City                 |    SAN ANTONIO
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    State                |    TX
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    Zip                  |    78231-2539
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    Country              |    US
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    Telephone            |    210-716-0750
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    Fax                  |    210-783-9721
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Authorized Official
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    Title or Position    |    OWNER/LMFT
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    Name                 |    MR. JACOB OVIDIO RINCON 
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    Credential           |    
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    Telephone            |    210-716-0750
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    106H00000X
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    Taxonomy Name        |    Marriage & Family Therapist
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    License Number       |    
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    License Number State |    
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