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General NPI Number Information
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NPI Number | 1366766933
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Entity Type | Organization
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Legal Business Name | ALPHA REHAB SERVICES, LLC
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Dates
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Enumeration Date | 03/25/2010
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Last Update Date | 08/25/2010
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Provider Practice Location Address
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Address Line | 807 WATER OAK DR
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City | ALLEN
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State | TX
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Zip | 75002-6371
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Country | US
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Telephone | 214-295-8822
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Fax | 866-257-4226
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Provider Business Mailing Address
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Address Line | 906 W MCDERMOTT DR SUITE 116-202
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City | ALLEN
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State | TX
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Zip | 75013-6510
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Country | US
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Telephone | 214-295-8822
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Fax | 866-257-4226
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Authorized Official
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Title or Position | PRESIDENT
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Name | LISA VARGAS
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Credential | MBA
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Telephone | 214-295-8822
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225XP0019X
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Taxonomy Name | Physical Rehabilitation Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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Taxonomy #4
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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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