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General NPI Number Information
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NPI Number | 1114279205
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Entity Type | Individual
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Provider Name | ERELLE J CLAVERIA P.T
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Gender | Male
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Dates
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Enumeration Date | 10/12/2012
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Last Update Date | 10/12/2012
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Provider Practice Location Address
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Address Line | 500 LINDBERG AVE
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City | MCALLEN
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State | TX
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Zip | 78501-2924
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Country | US
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Telephone | 956-687-4560
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Fax |
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Provider Business Mailing Address
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Address Line | 4500 COOPER RD STE 101
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City | CINCINNATI
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State | OH
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Zip | 45242-5647
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Country | US
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Telephone |
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 1221341
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License Number State | TX
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