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General NPI Number Information
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NPI Number | 1619342995
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Entity Type | Organization
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Legal Business Name | PASADENA PHYSICAL THERAPY & REHAB
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Dates
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Enumeration Date | 12/11/2015
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Last Update Date | 12/11/2015
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Provider Practice Location Address
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Address Line | 3009 STRAWBERRY RD SUITE B
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City | PASADENA
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State | TX
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Zip | 77502-5216
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Country | US
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Telephone | 713-941-2110
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Fax | 713-941-2125
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Provider Business Mailing Address
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Address Line | 3009 STRAWBERRY RD SUITE B
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City | PASADENA
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State | TX
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Zip | 77502-5216
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Country | US
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Telephone | 713-941-2110
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Fax | 713-941-2125
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MS. LILIANA ARIZPE
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Credential |
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Telephone | 713-941-2110
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NX0100X
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Taxonomy Name | Occupational Health Chiropractor
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License Number | DC6718TX
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License Number State | TX
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