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General NPI Number Information
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NPI Number | 1104365402
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Entity Type | Organization
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Legal Business Name | SUPERIOR REHAB CENTER
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Dates
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Enumeration Date | 02/20/2017
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Last Update Date | 02/20/2017
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Provider Practice Location Address
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Address Line | 14655 NORTHWEST FWY STE 103
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City | HOUSTON
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State | TX
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Zip | 77040-4042
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Country | US
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Telephone | 346-571-2933
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Fax | 832-849-1922
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Provider Business Mailing Address
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Address Line | 14655 NORTHWEST FWY STE 103
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City | HOUSTON
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State | TX
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Zip | 77040-4042
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Country | US
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Telephone | 346-571-2933
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Fax | 832-849-1922
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Authorized Official
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Title or Position | OWNER/CHIROPRACTOR
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Name | DR. DUY BUI
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Credential |
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Telephone | 281-250-6996
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 8235
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License Number State | TX
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