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General NPI Number Information
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NPI Number | 1518070770
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Entity Type | Organization
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Legal Business Name | WOODLANDS HAND REHABILITATION CENTER LLC
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Dates
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Enumeration Date | 08/15/2006
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Last Update Date | 08/12/2008
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Provider Practice Location Address
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Address Line | 19073 INTERSTATE 45 S SUITE 145
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City | CONROE
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State | TX
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Zip | 77385-8744
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Country | US
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Telephone | 936-321-4700
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Fax | 936-321-4848
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Provider Business Mailing Address
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Address Line | 19073 INTERSTATE 45 S SUITE 145
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City | THE WOODLANDS
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State | TX
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Zip | 77385-8743
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Country | US
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Telephone | 936-321-4700
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Fax | 936-321-4848
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Authorized Official
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Title or Position | OWNER
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Name | MRS. MOLLY M HUDSON
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Credential | OTR,CHT
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Telephone | 936-321-4700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225XH1200X
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Taxonomy Name | Hand Occupational Therapist
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License Number | 539990000
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License Number State | TX
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