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General NPI Number Information
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NPI Number | 1659317600
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Entity Type | Organization
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Legal Business Name | CENTERS FOR MOBILITY ROSENBERG LP
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Dates
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Enumeration Date | 06/20/2006
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Last Update Date | 07/15/2013
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Provider Practice Location Address
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Address Line | 12705 S. KIRKWOOD SUITE 200
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City | STAFFORD
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State | TX
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Zip | 77477
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Country | US
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Telephone | 281-494-4027
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Fax | 281-494-1505
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Provider Business Mailing Address
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Address Line | 12705 S. KIRKWOOD SUITE 200
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City | STAFFORD
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State | TX
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Zip | 77477
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Country | US
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Telephone | 281-494-4027
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Fax | 281-494-1505
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. NELDA FALKNOR
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Credential |
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Telephone | 713-773-0969
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number | 101186
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License Number State | TX
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