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General NPI Number Information
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NPI Number | 1902136237
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Entity Type | Organization
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Legal Business Name | RELIANCE THERAPY SERVICES
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Dates
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Enumeration Date | 01/08/2010
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Last Update Date | 01/08/2010
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Provider Practice Location Address
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Address Line | 6600 HARWIN DR STE 110
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City | HOUSTON
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State | TX
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Zip | 77036-2233
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Country | US
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Telephone | 713-933-8266
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Fax | 832-369-1735
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Provider Business Mailing Address
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Address Line | 9422 KEEGANS WOOD DR
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City | HOUSTON
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State | TX
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Zip | 77083-5954
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Country | US
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Telephone | 713-933-8266
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Fax | 832-369-1735
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Authorized Official
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Title or Position | CEO
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Name | MR. BENJAMIN CABRERA SEVIDAL
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Credential | LMT
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Telephone | 713-933-8266
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | LMT046676
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License Number State | TX
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