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General NPI Number Information
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NPI Number | 1447533146
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Entity Type | Organization
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Legal Business Name | BELTWAY DIAGNOSTIC AND REHAB CENTER
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Dates
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Enumeration Date | 09/20/2011
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Last Update Date | 09/20/2011
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Provider Practice Location Address
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Address Line | 9889 BELLAIRE BLVD SUITE 134
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City | HOUSTON
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State | TX
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Zip | 77036-3463
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Country | US
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Telephone | 281-780-1181
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Fax | 713-995-1002
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Provider Business Mailing Address
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Address Line | 9889 BELLAIRE BLVD SUITE 134
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City | HOUSTON
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State | TX
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Zip | 77036-3463
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Country | US
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Telephone | 281-780-1181
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Fax | 713-995-1002
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Authorized Official
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Title or Position | DIRECTOR
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Name | LORIE PENAFLOR OHUONU
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Credential |
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Telephone | 281-780-1181
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320700000X
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Taxonomy Name | Physical Disabilities Residential Treatment Facility
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License Number | F009617
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License Number State | TX
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