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General NPI Number Information
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NPI Number | 1629486683
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Entity Type | Organization
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Legal Business Name | TOTAL BODY REHAB, INC
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Dates
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Enumeration Date | 07/23/2014
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Last Update Date | 02/03/2015
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Provider Practice Location Address
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Address Line | 1520 E SAN PEDRO ST STE 102
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City | LAREDO
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State | TX
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Zip | 78041-5479
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Country | US
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Telephone | 956-568-2105
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Fax | 956-568-1488
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Provider Business Mailing Address
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Address Line | 1520 E SAN PEDRO ST STE 102
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City | LAREDO
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State | TX
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Zip | 78041-5429
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Country | US
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Telephone | 956-568-2105
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Fax | 956-568-1488
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Authorized Official
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Title or Position | OWNER
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Name | MRS. ROSA ARAMBULA-FALLAD
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Credential | OT
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Telephone | 956-568-2105
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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 | 101443
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License Number State | TX
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