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General NPI Number Information
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NPI Number | 1952583254
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Entity Type | Organization
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Legal Business Name | FAITH PEDIATRIC REHABILITATION
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Dates
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Enumeration Date | 11/29/2007
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Last Update Date | 11/29/2007
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Provider Practice Location Address
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Address Line | 1500 JACKSON ST STE 300
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City | RICHMOND
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State | TX
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Zip | 77469-3250
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Country | US
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Telephone | 281-344-8108
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Fax | 281-344-8107
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Provider Business Mailing Address
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Address Line | 1500 JACKSON ST STE 300
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City | RICHMOND
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State | TX
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Zip | 77469-3250
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Country | US
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Telephone | 281-344-8108
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Fax | 281-344-8107
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Authorized Official
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Title or Position | PRESIDENT/THERAPIST
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Name | FAITH A STILEN
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Credential | OTR
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Telephone | 281-344-1808
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State | TX
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