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General NPI Number Information
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NPI Number | 1619987021
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Entity Type | Organization
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Legal Business Name | VICTORIA PAIN & REHABILITATION CENTER, PA
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Dates
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Enumeration Date | 08/08/2006
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Last Update Date | 02/27/2025
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Provider Practice Location Address
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Address Line | 6902 NE ZAC LENTZ PKWY
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City | VICTORIA
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State | TX
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Zip | 77904-3441
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Country | US
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Telephone | 361-575-2882
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Fax | 361-574-9710
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Provider Business Mailing Address
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Address Line | 115 MEDICAL DR SUITE 105
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City | VICTORIA
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State | TX
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Zip | 77904-3105
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Country | US
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Telephone | 361-575-2882
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. WILSON A ALMONTE
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Credential | M.D.
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Telephone | 361-575-2882
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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 | K3358
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number | K3239
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | P6319
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License Number State | TX
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