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General NPI Number Information
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NPI Number | 1386073104
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Entity Type | Organization
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Legal Business Name | ALL VALLEY REHABILITATION, SPINE & PAIN INSTITUTE, P.A.
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Dates
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Enumeration Date | 11/02/2013
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Last Update Date | 03/01/2021
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Provider Practice Location Address
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Address Line | 2123 CORNERSTONE BLVD
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City | EDINBURG
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State | TX
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Zip | 78539-8301
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Country | US
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Telephone | 956-627-3151
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Fax | 956-627-3145
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Provider Business Mailing Address
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Address Line | PO BOX 3569
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City | MCALLEN
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State | TX
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Zip | 78502-3569
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Country | US
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Telephone | 956-627-3151
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Fax | 956-627-3145
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Authorized Official
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Title or Position | GENERAL MANAGER
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Name | FELIPA CANCHOLA
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Credential |
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Telephone | 956-627-3151
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | L8122
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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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 | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number | L8122
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | L8122
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License Number State | TX
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