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General NPI Number Information
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NPI Number | 1326750464
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Entity Type | Organization
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Legal Business Name | FAAST REHAB & WELLNESS
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Dates
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Enumeration Date | 12/20/2022
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Last Update Date | 12/20/2022
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Provider Practice Location Address
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Address Line | 3710 ASCOT LN
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City | HOUSTON
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State | TX
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Zip | 77092-8304
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Country | US
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Telephone | 832-372-1999
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Fax |
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Provider Business Mailing Address
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Address Line | 5773 WOODWAY DR # 1204
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City | HOUSTON
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State | TX
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Zip | 77057-1501
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | ADMIN ASSISTANT
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Name | LAKEISHA HALL
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Credential |
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Telephone | 832-577-0290
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NS0005X
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Taxonomy Name | Sports Physician Chiropractor
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License Number |
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License Number State |
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