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General NPI Number Information
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NPI Number | 1174627772
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Entity Type | Organization
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Legal Business Name | QTP II INC
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Dates
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Enumeration Date | 09/12/2006
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Last Update Date | 12/26/2024
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Provider Practice Location Address
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Address Line | 208 STARR ST SUITE 2
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City | MERCEDES
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State | TX
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Zip | 78570-2711
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Country | US
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Telephone | 956-514-1551
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Fax | 956-514-1554
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Provider Business Mailing Address
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Address Line | PO BOX 1136
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City | MERCEDES
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State | TX
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Zip | 78570-1136
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Country | US
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Telephone | 956-514-1551
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Fax | 956-514-1554
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Authorized Official
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Title or Position | OWNER
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Name | MR. MICHAEL HERNANDEZ
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Credential | OTR
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Telephone | 956-514-1551
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number | 208785
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 1078822
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 105897
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 15242
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License Number State | TX
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Taxonomy #5
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Taxonomy Code | 261QR0401X
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Taxonomy Name | Comprehensive Outpatient Rehabilitation Facility (CORF)
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License Number | 171268901
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License Number State | TX
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