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General NPI Number Information
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NPI Number | 1497302996
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Entity Type | Organization
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Legal Business Name | ADMIRAL US INC
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Dates
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Enumeration Date | 08/20/2019
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Last Update Date | 08/20/2019
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Provider Practice Location Address
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Address Line | 5460 PAREDES LINE RD STE 190
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City | BROWNSVILLE
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State | TX
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Zip | 78526-9742
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Country | US
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Telephone | 361-945-1612
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Fax |
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Provider Business Mailing Address
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Address Line | 45 CALLE CENIZO
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City | BROWNSVILLE
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State | TX
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Zip | 78520-7401
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CREDENTIALING STAFF
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Name | TIFFANY BRIANNE GARCIA
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Credential |
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Telephone | 210-387-5220
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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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