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General NPI Number Information
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NPI Number | 1154980167
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Entity Type | Organization
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Legal Business Name | PHYSICAL THERAPHY JONES RD
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Dates
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Enumeration Date | 06/12/2019
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Last Update Date | 07/31/2019
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Provider Practice Location Address
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Address Line | 9720 JONES RD STE 200
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City | HOUSTON
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State | TX
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Zip | 77065-4776
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Country | US
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Telephone | 832-738-9495
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Fax |
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Provider Business Mailing Address
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Address Line | 21034 NORMANDY FOREST DR
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City | SPRING
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State | TX
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Zip | 77388-3281
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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 | MISLEIDY SANTOS
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Credential |
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Telephone | 832-738-9495
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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