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General NPI Number Information
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NPI Number | 1861880312
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Entity Type | Organization
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Legal Business Name | MOMENTUM PHYSICAL & SPORTS REHABILITATION LIMITED PARTNERSHIP
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Dates
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Enumeration Date | 01/07/2015
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Last Update Date | 03/30/2023
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Provider Practice Location Address
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Address Line | 7003 S NEW BRAUNFELS AVE SUITE 114
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City | SAN ANTONIO
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State | TX
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Zip | 78223-4588
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Country | US
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Telephone | 210-892-0359
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Fax | 210-253-9535
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Provider Business Mailing Address
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Address Line | 12952 BANDERA RD STE 107
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City | HELOTES
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State | TX
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Zip | 78023-4733
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Country | US
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Telephone | 210-372-9600
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Fax |
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Authorized Official
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Title or Position | VP, AUTHORIZED OFFICIAL
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Name | RICHARD BINSTEIN
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Credential |
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Telephone | 713-297-7000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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