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General NPI Number Information
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NPI Number | 1699835496
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Entity Type | Organization
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Legal Business Name | SOUTHWEST REHABILITATION CENTER OF ARLINGTON, P.A.
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Dates
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Enumeration Date | 12/11/2006
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Last Update Date | 05/15/2012
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Provider Practice Location Address
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Address Line | 1216 FLORIDA DR SUITE 130
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City | ARLINGTON
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State | TX
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Zip | 76015-2387
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Country | US
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Telephone | 817-461-6374
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Fax | 817-461-8550
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Provider Business Mailing Address
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Address Line | 1216 FLORIDA DR SUITE 130
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City | ARLINGTON
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State | TX
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Zip | 76015-2387
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Country | US
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Telephone | 817-461-6374
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Fax | 817-461-8550
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Authorized Official
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Title or Position | OFFICER MANAGER
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Name | MRS. BETTY HENSON
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Credential |
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Telephone | 817-461-6374
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | N4225
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 1079499
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 8215
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License Number State | TX
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