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General NPI Number Information
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NPI Number | 1497099824
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Entity Type | Organization
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Legal Business Name | MCALLEN PHYSICAL THERAPY INC
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Dates
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Enumeration Date | 11/26/2012
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Last Update Date | 10/05/2017
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Provider Practice Location Address
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Address Line | 5119 S MCCOLL RD
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City | EDINBURG
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State | TX
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Zip | 78539-8278
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Country | US
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Telephone | 956-661-9490
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Fax | 956-661-9499
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Provider Business Mailing Address
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Address Line | 5119 S MCCOLL RD
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City | EDINBURG
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State | TX
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Zip | 78539-8278
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Country | US
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Telephone | 956-661-1964
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Fax | 956-661-1919
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Authorized Official
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Title or Position | PT
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Name | FORTINO GONZALEZ
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Credential |
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Telephone | 956-661-1964
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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 | 188847
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License Number State | TX
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