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General NPI Number Information
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NPI Number | 1144757121
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Entity Type | Organization
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Legal Business Name | DPT AMARA, INC.
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Dates
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Enumeration Date | 05/22/2017
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Last Update Date | 05/24/2017
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Provider Practice Location Address
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Address Line | 5216 SOUTH JACKSON ROAD
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City | EDINBURG
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State | TX
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Zip | 78539
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Country | US
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Telephone | 956-205-2704
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Fax |
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Provider Business Mailing Address
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Address Line | 2410 DORADO DR
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City | MISSION
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State | TX
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Zip | 78573-8450
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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 | OWNER
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Name | ANESSA MARIE ACUNA
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Credential | PT, DPT
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Telephone | 956-638-7486
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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 |
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License Number State |
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