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General NPI Number Information
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NPI Number | 1790076578
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Entity Type | Organization
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Legal Business Name | THE INJURY & REHABILITATION CENTER OF HOUSTON
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Dates
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Enumeration Date | 04/27/2011
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Last Update Date | 04/27/2011
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Provider Practice Location Address
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Address Line | 8799 NORTH LOOP E STE 208
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City | HOUSTON
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State | TX
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Zip | 77029-1200
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Country | US
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Telephone | 713-977-6767
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Fax | 713-672-1224
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Provider Business Mailing Address
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Address Line | 8799 NORTH LOOP E STE 208
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City | HOUSTON
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State | TX
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Zip | 77029-1200
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Country | US
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Telephone | 713-977-6767
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Fax | 713-672-1224
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Authorized Official
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Title or Position | PRESIDENT & CEO OF OPERATIONS
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Name | MS. CAROL ELAINE FARRIS-NELSON
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Credential |
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Telephone | 713-977-6767
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | F008485
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License Number State | TX
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