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General NPI Number Information
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NPI Number | 1255888194
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Entity Type | Organization
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Legal Business Name | PEAK PERFORMANCE REHAB & WELLNESS, LLC
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Dates
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Enumeration Date | 09/08/2016
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Last Update Date | 09/08/2016
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Provider Practice Location Address
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Address Line | 4301 VISTA RD STE. 110
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City | PASADENA
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State | TX
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Zip | 77504-2117
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Country | US
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Telephone | 713-378-3320
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Fax | 832-925-7103
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Provider Business Mailing Address
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Address Line | 4301 VISTA RD STE. 110
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City | PASADENA
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State | TX
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Zip | 77504-2117
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Country | US
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Telephone | 713-378-3320
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Fax | 832-925-7103
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Authorized Official
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Title or Position | CO OWNER
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Name | DR. KOURTNI BROWN HOWARD
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Credential | DC
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Telephone | 832-620-0671
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | 13016
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License Number State | TX
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