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General NPI Number Information
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NPI Number | 1053546283
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Entity Type | Organization
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Legal Business Name | PARTNERS THERAPY AND REHABILITATION,PLLC
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Dates
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Enumeration Date | 05/18/2009
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Last Update Date | 05/18/2009
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Provider Practice Location Address
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Address Line | 111 VISION PARK BLVD SUITE 250
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City | SHENANDOAH
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State | TX
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Zip | 77384-3002
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Country | US
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Telephone | 281-363-2829
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Fax |
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Provider Business Mailing Address
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Address Line | 9006 FOREST XING SUITE E
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City | THE WOODLANDS
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State | TX
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Zip | 77381-1185
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Country | US
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Telephone | 281-363-2829
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. RONALD A BUCZEK
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Credential | D.O.
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Telephone | 281-363-2829
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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 | 110312
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License Number State | TX
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