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General NPI Number Information
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NPI Number | 1902580533
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Entity Type | Individual
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Provider Name | ALESSONDRA ERMALINSKI PTA
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Gender | Female
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Dates
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Enumeration Date | 06/14/2023
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Last Update Date | 06/14/2023
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Provider Practice Location Address
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Address Line | 2425 FOUNTAIN VIEW DR STE 160
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City | HOUSTON
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State | TX
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Zip | 77057-4834
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Country | US
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Telephone | 866-480-1310
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Fax |
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Provider Business Mailing Address
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Address Line | 1815 MAYWEATHER LN
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City | RICHMOND
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State | TX
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Zip | 77406-1337
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Country | US
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Telephone | 281-610-1550
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 2137630
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License Number State | TX
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