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General NPI Number Information
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NPI Number | 1255641478
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Entity Type | Organization
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Legal Business Name | MEDCENTER WORK RECOVERY LLC
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Dates
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Enumeration Date | 10/21/2010
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Last Update Date | 10/21/2010
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Provider Practice Location Address
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Address Line | 2040 BABCOCK ROAD 101
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City | SAN ANTONIO
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State | TX
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Zip | 78229
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Country | US
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Telephone | 210-692-3292
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Fax |
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Provider Business Mailing Address
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Address Line | 2040 BABCOCK ROAD 101
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City | SAN ANTONIO
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State | TX
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Zip | 78229
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Country | US
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Telephone | 210-692-3292
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. RICHARD A EVANS
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Credential | PT, DPT
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Telephone | 210-692-3292
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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 | 1046928
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License Number State | TX
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