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General NPI Number Information
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NPI Number | 1801925755
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Entity Type | Organization
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Legal Business Name | OAFERINA PROFESSIONAL CORP.
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Dates
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Enumeration Date | 03/05/2007
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Last Update Date | 05/06/2010
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Provider Practice Location Address
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Address Line | 414 SHILOH DR UNIT 9
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City | LAREDO
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State | TX
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Zip | 78045-6745
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Country | US
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Telephone | 956-791-8235
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Fax | 956-791-8239
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Provider Business Mailing Address
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Address Line | PO BOX 451267
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City | LAREDO
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State | TX
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Zip | 78045-0031
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Country | US
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Telephone | 956-791-8235
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Fax | 956-791-8239
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. ALETH OAFERINA SR.
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Credential | PT
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Telephone | 956-791-8235
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 108458
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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 | 1076438
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License Number State | TX
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