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General NPI Number Information
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NPI Number | 1487169926
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Entity Type | Organization
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Legal Business Name | CARITAS REHAB
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Dates
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Enumeration Date | 12/06/2017
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Last Update Date | 12/06/2017
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Provider Practice Location Address
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Address Line | 21238 KINGSLAND BLVD STE B
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City | KATY
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State | TX
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Zip | 77450-5898
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Country | US
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Telephone | 832-321-4962
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Fax |
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Provider Business Mailing Address
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Address Line | 21238 KINGSLAND BLVD STE B
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City | KATY
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State | TX
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Zip | 77450-5898
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Country | US
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Telephone | 832-321-4962
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | KAREN THAMPOE
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Credential | M.D.
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Telephone | 832-321-4962
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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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 | 261QR0401X
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Taxonomy Name | Comprehensive Outpatient Rehabilitation Facility (CORF)
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License Number |
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License Number State |
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