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General NPI Number Information
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NPI Number | 1154727469
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Entity Type | Organization
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Legal Business Name | DOCTORS REHAB OF THE RGV, PLLC
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Dates
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Enumeration Date | 11/13/2014
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Last Update Date | 11/13/2014
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Provider Practice Location Address
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Address Line | 4854 S JACKSON RD
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City | EDINBURG
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State | TX
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Zip | 78539-6519
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Country | US
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Telephone | 956-687-5550
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Fax | 956-687-5554
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Provider Business Mailing Address
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Address Line | 4854 S JACKSON RD
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City | EDINBURG
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State | TX
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Zip | 78539-6519
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Country | US
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Telephone | 956-687-5550
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Fax | 956-687-5554
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Authorized Official
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Title or Position | OWNER
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Name | DR. JOSEPH BURT
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Credential | D.C.
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Telephone | 956-687-5550
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number | 6416
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License Number State | TX
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