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General NPI Number Information
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NPI Number | 1346463809
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Entity Type | Individual
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Provider Name | JOSEPH L MEZA P.T.
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Gender | Male
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Dates
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Enumeration Date | 04/11/2007
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Last Update Date | 04/14/2008
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Provider Practice Location Address
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Address Line | 3000 INVINCIBLE CIR
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City | LEAGUE CITY
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State | TX
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Zip | 77573-2956
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Country | US
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Telephone | 281-334-2560
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Fax | 281-238-8401
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Provider Business Mailing Address
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Address Line | PO BOX 1193
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City | KEMAH
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State | TX
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Zip | 77565-1193
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Country | US
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Telephone | 281-334-2560
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Fax | 281-238-8401
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 143867
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License Number State | TX
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