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General NPI Number Information
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NPI Number | 1235653601
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Entity Type | Organization
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Legal Business Name | BAYTOWN WELLNESS & REHAB
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Dates
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Enumeration Date | 07/27/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 3711 GARTH RD STE 140A
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City | BAYTOWN
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State | TX
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Zip | 77521-3176
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Country | US
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Telephone | 832-926-4858
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Fax | 832-926-4866
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Provider Business Mailing Address
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Address Line | 3711 GARTH RD STE 140A
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City | BAYTOWN
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State | TX
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Zip | 77521-3176
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Country | US
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Telephone | 832-926-4858
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Fax | 832-926-4866
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Authorized Official
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Title or Position | REGIONAL MANAGER
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Name | LESLIE ARAGUZ
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Credential |
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Telephone | 713-802-2226
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 5035
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License Number State | TX
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