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General NPI Number Information
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NPI Number | 1497916555
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Entity Type | Organization
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Legal Business Name | HOME REHABILITATION CONCEPTS
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Dates
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Enumeration Date | 06/21/2008
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Last Update Date | 06/21/2008
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Provider Practice Location Address
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Address Line | 5822 DRYAD DR
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City | HOUSTON
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State | TX
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Zip | 77035-4209
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Country | US
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Telephone | 713-857-7045
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Fax |
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Provider Business Mailing Address
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Address Line | 5822 DRYAD DR
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City | HOUSTON
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State | TX
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Zip | 77035-4209
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Country | US
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Telephone | 713-857-7045
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Fax |
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Authorized Official
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Title or Position | PHYSICAL THERAPIST
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Name | MR. BARNEY JOSEPH RENTON III
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Credential | B S PHYSICAL THERAPY
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Telephone | 713-857-7045
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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 | 1055648
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License Number State | TX
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