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General NPI Number Information
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NPI Number | 1184725335
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Entity Type | Organization
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Legal Business Name | PUIG PHYSICAL THERAPY, PC
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Dates
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Enumeration Date | 09/26/2006
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Last Update Date | 04/05/2012
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Provider Practice Location Address
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Address Line | 2122 E GRIFFIN PKWY
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City | MISSION
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State | TX
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Zip | 78572-3225
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Country | US
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Telephone | 956-585-8886
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Fax | 956-585-9971
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Provider Business Mailing Address
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Address Line | 2122 E GRIFFIN PKWY
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City | MISSION
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State | TX
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Zip | 78572-3225
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Country | US
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Telephone | 956-585-8886
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Fax | 956-585-9971
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Authorized Official
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Title or Position | CEO
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Name | BERTHA PUIG
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Credential | PT
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Telephone | 956-585-8886
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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 | 102970
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License Number State | TX
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