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General NPI Number Information
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NPI Number | 1609094960
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Entity Type | Organization
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Legal Business Name | INJURY PAIN & REHABILITATION CENTER, INC
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Dates
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Enumeration Date | 04/23/2007
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 720 SW MILITARY DR. SUITE # B
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City | SAN ANTONIO
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State | TX
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Zip | 78224
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Country | US
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Telephone | 210-928-0361
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Fax |
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Provider Business Mailing Address
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Address Line | 720 SW MILITARY DR. SUITE # B
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City | SAN ANTONIO
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State | TX
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Zip | 78224
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Country | US
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Telephone | 210-928-0361
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. DINKER G AMATYA
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Credential |
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Telephone | 713-773-4348
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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 | TX
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