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General NPI Number Information
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NPI Number | 1609051267
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Entity Type | Organization
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Legal Business Name | INNER LOOP PHYSICAL THERAPY
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Dates
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Enumeration Date | 01/02/2008
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Last Update Date | 01/02/2008
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Provider Practice Location Address
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Address Line | 2990 RICHMOND AVE STE 110
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City | HOUSTON
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State | TX
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Zip | 77098-3109
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Country | US
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Telephone | 713-942-9024
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Fax | 713-942-9071
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Provider Business Mailing Address
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Address Line | 2990 RICHMOND AVE STE 110
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City | HOUSTON
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State | TX
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Zip | 77098-3109
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Country | US
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Telephone | 713-942-9024
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Fax | 713-942-9071
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Authorized Official
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Title or Position | PHYSICAL THERAPIST
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Name | MS. DELMA CARDONA
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Credential | P.T.
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Telephone | 713-942-9024
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | 1035442
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License Number State | TX
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