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General NPI Number Information
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NPI Number | 1710110226
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Entity Type | Organization
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Legal Business Name | TEXAS REHAB INSTITUTE
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Dates
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Enumeration Date | 08/31/2009
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Last Update Date | 08/31/2009
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Provider Practice Location Address
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Address Line | 8503 GULF FWY STE F
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City | HOUSTON
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State | TX
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Zip | 77017-5038
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Country | US
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Telephone | 832-339-6738
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Fax |
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Provider Business Mailing Address
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Address Line | 8503 GULF FWY STE F
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City | HOUSTON
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State | TX
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Zip | 77017-5038
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | DR. ROBERT BERT ZICTERMAN
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Credential | D.C.
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Telephone | 832-339-6738
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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 | 10514
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License Number State | TX
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