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General NPI Number Information
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NPI Number | 1548986656
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Entity Type | Organization
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Legal Business Name | ELITE REHAB & THERAPY LLC
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Dates
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Enumeration Date | 10/19/2022
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Last Update Date | 10/19/2022
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Provider Practice Location Address
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Address Line | 11187 WESTHEIMER RD
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City | HOUSTON
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State | TX
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Zip | 77042-3218
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Country | US
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Telephone | 346-443-5483
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Fax |
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Provider Business Mailing Address
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Address Line | 11187 WESTHEIMER RD
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City | HOUSTON
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State | TX
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Zip | 77042-3218
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Country | US
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Telephone | 346-443-5483
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Fax |
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Authorized Official
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Title or Position | BILLING SPECIALIST
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Name | MRS. WENDY WOOD
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Credential |
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Telephone | 409-392-5162
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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 |
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License Number State |
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