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General NPI Number Information
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NPI Number | 1790845915
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Entity Type | Organization
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Legal Business Name | RIVER HEALTH CARE LLC
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Dates
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Enumeration Date | 12/11/2006
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Last Update Date | 02/28/2024
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Provider Practice Location Address
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Address Line | 327 W 3RD ST
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City | MERCEDES
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State | TX
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Zip | 78570-3105
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Country | US
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Telephone | 956-565-9300
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Fax | 956-565-9686
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Provider Business Mailing Address
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Address Line | 327 W 3RD ST
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City | MERCEDES
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State | TX
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Zip | 78570-3105
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Country | US
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Telephone | 956-565-9300
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Fax | 956-565-9686
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Authorized Official
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Title or Position | OWNER
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Name | MATEO DIAZ
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Credential | OTR
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Telephone | 956-565-9300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number |
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License Number State |
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