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General NPI Number Information
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NPI Number | 1215194220
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Entity Type | Organization
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Legal Business Name | FLORES REHABILITATION & PS INC
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Dates
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Enumeration Date | 05/19/2008
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Last Update Date | 05/19/2008
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Provider Practice Location Address
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Address Line | 2418 BUDDY OWENS BLVD
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City | MCALLEN
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State | TX
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Zip | 78504-5463
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Country | US
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Telephone | 956-631-7410
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Fax | 956-631-3661
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Provider Business Mailing Address
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Address Line | PO BOX 3528
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City | MCALLEN
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State | TX
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Zip | 78502-3528
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Country | US
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Telephone | 956-631-7410
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Fax | 956-631-3861
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Authorized Official
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Title or Position | REHABILITATION MEDICAL VOCATIONAL C
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Name | MR. RICK FLORES
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Credential | CDMS
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Telephone | 956-631-7410
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number | CERT000003969
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License Number State | TX
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