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General NPI Number Information
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NPI Number | 1417231622
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Entity Type | Organization
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Legal Business Name | P.A.T.H. 2 WELLNESS
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Dates
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Enumeration Date | 10/06/2011
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Last Update Date | 10/06/2011
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Provider Practice Location Address
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Address Line | 504 E 2ND ST SUITE B
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City | RIO GRANDE CITY
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State | TX
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Zip | 78582-3810
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Country | US
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Telephone | 956-280-1939
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Fax |
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Provider Business Mailing Address
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Address Line | 4306 CANADIANA LN
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City | MISSION
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State | TX
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Zip | 78572-9448
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Country | US
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Telephone | 956-280-1939
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JAMES JASON SANCHEZ
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Credential |
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Telephone | 956-280-1939
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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