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General NPI Number Information
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NPI Number | 1609246529
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Entity Type | Organization
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Legal Business Name | RHINESTONE RESOURCE GROUP LLC
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Dates
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Enumeration Date | 10/05/2015
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Last Update Date | 11/09/2022
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Provider Practice Location Address
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Address Line | 2363 HIGHWAY 287 N STE 205
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City | MANSFIELD
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State | TX
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Zip | 76063-7587
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Country | US
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Telephone | 817-592-3021
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Fax | 888-557-1669
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Provider Business Mailing Address
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Address Line | 4204 STONEBRIAR TRL
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City | MANSFIELD
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State | TX
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Zip | 76063-5875
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Country | US
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Telephone | 817-592-3021
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Fax | 888-557-1669
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Authorized Official
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Title or Position | ADMIN
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Name | MRS. ANGIE LEIGH COBY
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Credential |
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Telephone | 817-592-3021
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225400000X
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Taxonomy Name | Rehabilitation Practitioner
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License Number |
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License Number State |
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