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General NPI Number Information
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NPI Number | 1538167549
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Entity Type | Organization
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Legal Business Name | VALLEY PM&R SPECIALISTS, P.A.
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Dates
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Enumeration Date | 07/13/2005
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Last Update Date | 12/31/2007
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Provider Practice Location Address
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Address Line | 1200 E SAVANNAH AVE STE 10
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City | MCALLEN
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State | TX
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Zip | 78503-1727
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Country | US
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Telephone | 956-668-9900
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Fax | 956-668-9902
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Provider Business Mailing Address
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Address Line | 1200 E SAVANNAH AVE STE 10
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City | MCALLEN
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State | TX
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Zip | 78503-1727
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Country | US
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Telephone | 956-668-9900
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Fax | 956-668-9902
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Authorized Official
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Title or Position | OWNER
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Name | DR. SAROJA VISWAMITRA
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Credential | MD
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Telephone | 956-668-9900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | J9418
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License Number State | TX
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