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General NPI Number Information
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NPI Number | 1598759573
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Entity Type | Organization
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Legal Business Name | RUTHE B. COWL REHABILITATION CENTER
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Dates
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Enumeration Date | 09/07/2005
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Last Update Date | 05/26/2021
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Provider Practice Location Address
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Address Line | 1220 N MALINCHE AVE
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City | LAREDO
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State | TX
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Zip | 78043-3354
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Country | US
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Telephone | 956-722-2431
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Fax | 956-722-7553
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Provider Business Mailing Address
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Address Line | 1220 N MALINCHE AVE
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City | LAREDO
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State | TX
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Zip | 78043-3354
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Country | US
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Telephone | 956-722-2431
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Fax | 956-722-7553
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Authorized Official
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Title or Position | ADMINISTRATIVE ASSISTANT
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Name | ARIANA MORA
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Credential |
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Telephone | 956-722-2431
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 59505
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | 39688
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 261QR0401X
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Taxonomy Name | Comprehensive Outpatient Rehabilitation Facility (CORF)
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License Number | 104887
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 261QR0401X
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Taxonomy Name | Comprehensive Outpatient Rehabilitation Facility (CORF)
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License Number | 116580
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License Number State | TX
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Taxonomy #5
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Taxonomy Code | 261QR0401X
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Taxonomy Name | Comprehensive Outpatient Rehabilitation Facility (CORF)
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License Number | 101216
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License Number State | TX
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Taxonomy #6
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Taxonomy Code | 261QR0401X
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Taxonomy Name | Comprehensive Outpatient Rehabilitation Facility (CORF)
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License Number | 615780000
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License Number State | TX
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Taxonomy #7
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Taxonomy Code | 261QR0401X
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Taxonomy Name | Comprehensive Outpatient Rehabilitation Facility (CORF)
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License Number | 108458
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License Number State | TX
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