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General NPI Number Information
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NPI Number | 1821368739
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Entity Type | Organization
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Legal Business Name | RISE N SHINE THERAPY LLC
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Dates
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Enumeration Date | 01/09/2012
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Last Update Date | 08/27/2013
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Provider Practice Location Address
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Address Line | 1701 W 3 MILE RD STE C
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City | MISSION
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State | TX
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Zip | 78572
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Country | US
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Telephone | 956-432-0278
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Fax | 956-432-0279
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Provider Business Mailing Address
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Address Line | 1701 W 3 MILE RD STE C
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City | MISSION
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State | TX
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Zip | 78572
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Country | US
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Telephone | 956-432-0278
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Fax | 956-432-0279
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Authorized Official
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Title or Position | OWNER
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Name | ERICA J RODRIGUEZ
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Credential | SLP
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Telephone | 956-432-0278
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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 | 112252
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 101915
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License Number State | TX
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