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General NPI Number Information
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NPI Number | 1083590509
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Entity Type | Individual
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Provider Name | ERYL THEODORE RAGASA
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Gender | Male
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Dates
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Enumeration Date | 08/12/2025
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Last Update Date | 08/12/2025
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Provider Practice Location Address
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Address Line | 1321 PARK BAYOU DR
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City | HOUSTON
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State | TX
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Zip | 77077-1507
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Country | US
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Telephone | 281-556-9200
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Fax |
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Provider Business Mailing Address
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Address Line | 13010 TAYLOR LN
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City | STAFFORD
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State | TX
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Zip | 77477-4567
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Country | US
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Telephone | 713-402-8791
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number | 217618
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License Number State | TX
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