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General NPI Number Information
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NPI Number | 1427833292
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Entity Type | Individual
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Provider Name | ROSALINO EVIER LARA DPT
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Gender | Male
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Dates
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Enumeration Date | 08/29/2023
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Last Update Date | 07/23/2025
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Provider Practice Location Address
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Address Line | 5126 W LOOP 1604 N STE 101
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City | SAN ANTONIO
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State | TX
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Zip | 78251-4408
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Country | US
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Telephone | 210-399-0888
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Fax | 210-664-2409
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Provider Business Mailing Address
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Address Line | 8163 PEMBERTON ST
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City | SAN ANTONIO
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State | TX
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Zip | 78254-2518
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Country | US
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Telephone | 210-913-3235
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Fax |
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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 | 1383147
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License Number State | TX
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