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General NPI Number Information
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NPI Number | 1093166092
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Entity Type | Organization
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Legal Business Name | ROCKING HORSE REHAB, LLC
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Dates
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Enumeration Date | 06/30/2016
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Last Update Date | 10/02/2019
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Provider Practice Location Address
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Address Line | 2885 E GRANT ST STE B-3
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City | ROMA
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State | TX
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Zip | 78584-8914
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Country | US
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Telephone | 956-317-1080
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Fax | 956-317-1116
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Provider Business Mailing Address
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Address Line | 1715 EXPRESSWAY 83 STE B
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City | PENITAS
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State | TX
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Zip | 78576-8335
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Country | US
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Telephone | 956-580-9911
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Fax | 956-580-8291
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Authorized Official
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Title or Position | OWNER/ADMIN
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Name | ALEXANDER ARISMENDEZ
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Credential |
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Telephone | 956-802-1598
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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 | 562660001
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License Number State | TX
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