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General NPI Number Information
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NPI Number | 1629189246
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Entity Type | Organization
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Legal Business Name | MILESTONES THERAPEUTIC ASSOCIATES, INC.
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 09/03/2024
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Provider Practice Location Address
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Address Line | 1201 N. JACKSON RD. STE. 900
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City | MCALLEN
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State | TX
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Zip | 78501-5764
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Country | US
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Telephone | 956-661-0475
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Fax | 956-621-7518
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Provider Business Mailing Address
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Address Line | 1201 N. JACKSON RD. STE. 900
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City | MCALLEN
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State | TX
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Zip | 78501-5764
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Country | US
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Telephone | 956-661-0475
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Fax | 956-621-7518
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | VALERIE NEVAREZ
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Credential | MS, CCC-SLP
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Telephone | 956-661-0475
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0401X
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Taxonomy Name | Comprehensive Outpatient Rehabilitation Facility (CORF)
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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 | 261QR0401X
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Taxonomy Name | Comprehensive Outpatient Rehabilitation Facility (CORF)
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License Number |
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License Number State | TX
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