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General NPI Number Information
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NPI Number | 1609140821
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Entity Type | Organization
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Legal Business Name | R@RHEATLH@REHABILITATIONCENTER
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Dates
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Enumeration Date | 03/06/2012
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Last Update Date | 02/12/2015
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Provider Practice Location Address
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Address Line | 4101 NORTH FWY 101
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City | HOUSTON
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State | TX
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Zip | 77022-4200
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Country | US
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Telephone | 713-691-7471
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Fax | 713-691-7771
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Provider Business Mailing Address
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Address Line | 4625 NORTH FWY 201
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City | HOUSTON
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State | TX
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Zip | 77022-2914
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Country | US
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Telephone | 713-691-7471
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Fax | 713-691-7771
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Authorized Official
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Title or Position | OWER
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Name | MS. RUBY A EVANS
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Credential |
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Telephone | 281-690-1681
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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 | F0009838
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License Number State | TX
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