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General NPI Number Information
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NPI Number | 1679927362
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Entity Type | Organization
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Legal Business Name | CORAZON THERAPY CENTER
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Dates
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Enumeration Date | 04/19/2016
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Last Update Date | 04/19/2016
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Provider Practice Location Address
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Address Line | 901 E VERMONT AVE
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City | MCALLEN
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State | TX
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Zip | 78503-1729
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Country | US
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Telephone | 956-618-9911
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Fax |
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Provider Business Mailing Address
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Address Line | 102 S BROADWAY ST
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City | MCALLEN
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State | TX
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Zip | 78501-4833
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Country | US
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Telephone | 956-618-9911
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Fax |
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Authorized Official
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Title or Position | GEN. PARTNER
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Name | ALECK SEBASTIAN RIOS
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Credential |
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Telephone | 956-878-7610
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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