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General NPI Number Information
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NPI Number | 1881023851
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Entity Type | Organization
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Legal Business Name | MISSION REHABILITATION AND SPORTS MEDICINE LIMITED PARTNERSHIP
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Dates
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Enumeration Date | 11/11/2013
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Last Update Date | 08/26/2021
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Provider Practice Location Address
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Address Line | 6511 W LOOP 1604 N SUITE 117
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City | SAN ANTONIO
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State | TX
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Zip | 78254-5438
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Country | US
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Telephone | 210-201-0185
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1308
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City | COPPELL
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State | TX
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Zip | 75019-1308
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Country | US
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Telephone |
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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