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General NPI Number Information
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NPI Number | 1952979437
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Entity Type | Individual
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Provider Name | RAFAEL PEREZ JR. PT, DPT
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Gender | Male
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Dates
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Enumeration Date | 06/11/2021
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Last Update Date | 07/01/2022
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Provider Practice Location Address
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Address Line | 1800 S 5TH ST STE B
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City | MCALLEN
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State | TX
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Zip | 78503-2909
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Country | US
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Telephone | 956-971-5640
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Fax |
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Provider Business Mailing Address
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Address Line | 2812 WINDSOR ST
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City | EDINBURG
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State | TX
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Zip | 78541-4902
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Country | US
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Telephone | 956-297-0409
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 1351952
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License Number State | TX
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