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General NPI Number Information
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NPI Number | 1184809295
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Entity Type | Organization
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Legal Business Name | RODRIGUEZ HAND REHABILITATION AND PHYSICAL THERAPY INC
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Dates
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Enumeration Date | 01/08/2008
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Last Update Date | 01/08/2008
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Provider Practice Location Address
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Address Line | 2390 CENTRAL BOULEVARD SUITE Q
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City | BROWNSVILLE
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State | TX
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Zip | 78520
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Country | US
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Telephone | 956-544-6467
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Fax | 956-544-2556
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Provider Business Mailing Address
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Address Line | 2390 CENTRAL BOULEVARD SUITE Q
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City | BROWNSVILLE
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State | TX
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Zip | 78520
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Country | US
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Telephone | 956-544-6467
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Fax | 956-544-2556
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Authorized Official
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Title or Position | OWNER
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Name | MR. CARLOS C RODRIGUEZ JR.
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Credential | LPT, CHT
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Telephone | 956-412-3226
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OT01954
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 2251H1200X
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Taxonomy Name | Hand Physical Therapist
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License Number | PT1023919
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License Number State | TX
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