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General NPI Number Information
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NPI Number | 1568735538
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Entity Type | Organization
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Legal Business Name | THERAPEUTIC BODYWORK SOLUTIONS
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Dates
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Enumeration Date | 02/21/2012
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Last Update Date | 02/21/2012
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Provider Practice Location Address
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Address Line | 11221 RICHMOND AVE C111A
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City | HOUSTON
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State | TX
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Zip | 77082-6655
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Country | US
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Telephone | 281-809-0707
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 705
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City | SIMONTON
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State | TX
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Zip | 77476-0705
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Country | US
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Telephone | 281-809-0707
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | GEORGE H JAMES
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Credential | LMT
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Telephone | 281-809-0707
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number | MT113068
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License Number State | TX
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