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General NPI Number Information
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NPI Number | 1235438227
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Entity Type | Organization
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Legal Business Name | MARIA V ROEL
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Dates
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Enumeration Date | 03/16/2011
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Last Update Date | 05/12/2014
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Provider Practice Location Address
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Address Line | 8115 N LOS EBANOS RD STE 4
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City | ALTON
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State | TX
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Zip | 78573-0000
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Country | US
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Telephone | 956-271-1522
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Fax | 956-271-1523
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Provider Business Mailing Address
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Address Line | 213 YELLOWHAMMER AVE
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City | MCALLEN
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State | TX
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Zip | 78504-1622
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Country | US
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Telephone | 956-271-1522
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Fax | 956-271-1523
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Authorized Official
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Title or Position | OWNER
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Name | MS. MARIA V ROEL
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Credential |
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Telephone | 956-271-1522
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number |
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License Number State |
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