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General NPI Number Information
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NPI Number | 1568596260
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Entity Type | Organization
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Legal Business Name | BETHESDA THERAPY CENTER
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Dates
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Enumeration Date | 03/15/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 7300 BLANCO RD STE 401
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City | SAN ANTONIO
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State | TX
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Zip | 78216-4939
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Country | US
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Telephone | 210-348-7200
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Fax | 210-348-7500
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Provider Business Mailing Address
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Address Line | 7300 BLANCO RD STE 401
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City | SAN ANTONIO
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State | TX
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Zip | 78216-4939
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Country | US
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Telephone | 210-348-7200
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Fax | 210-348-7500
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Authorized Official
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Title or Position | CEO
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Name | NAOMI S RODGERS
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Credential |
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Telephone | 210-348-7200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | J5568
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License Number State | TX
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