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General NPI Number Information
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NPI Number | 1861682544
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Entity Type | Organization
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Legal Business Name | REHAB AND PAIN CLINICS OF SOUTH TEXAS
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Dates
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Enumeration Date | 07/28/2007
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Last Update Date | 07/16/2012
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Provider Practice Location Address
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Address Line | 425 E ALTON GLOOR BLVD
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City | BROWNSVILLE
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State | TX
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Zip | 78526-3361
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Country | US
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Telephone | 956-554-6025
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Fax | 956-350-9413
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Provider Business Mailing Address
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Address Line | 425 E ALTON GLOOR BLVD
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City | BROWNSVILLE
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State | TX
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Zip | 78526-3361
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Country | US
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Telephone | 956-554-6025
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Fax | 956-350-9413
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Authorized Official
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Title or Position | OWNER
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Name | DR. JUMAR APOLINARIO
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Credential | M.D.
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Telephone | 956-554-6025
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | M1473
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License Number State | TX
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