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General NPI Number Information
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NPI Number | 1336817329
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Entity Type | Organization
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Legal Business Name | BODY MECHANICS PHYSICAL THERAPY & WELLNESS CENTER INC
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Dates
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Enumeration Date | 09/02/2021
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Last Update Date | 09/02/2021
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Provider Practice Location Address
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Address Line | 1705 JACAMAN RD STE 1B
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City | LAREDO
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State | TX
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Zip | 78041-6184
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Country | US
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Telephone | 956-334-4444
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 451734
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City | LAREDO
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State | TX
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Zip | 78045-0042
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Country | US
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Telephone | 956-334-4444
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | JESSICA MARTINEZ
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Credential |
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Telephone | 956-334-4444
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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 |
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License Number State |
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