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General NPI Number Information
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NPI Number | 1962673947
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Entity Type | Organization
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Legal Business Name | OPTIMUM WELLNESS & REHAB CENTER
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Dates
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Enumeration Date | 03/18/2008
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Last Update Date | 05/07/2009
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Provider Practice Location Address
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Address Line | 2600 S LOOP W SUITE 240
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City | HOUSTON
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State | TX
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Zip | 77054-2653
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Country | US
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Telephone | 713-592-5650
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 31566
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City | HOUSTON
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State | TX
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Zip | 77231-1566
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Country | US
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Telephone | 713-592-5650
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. KIMBERLY ROBINSON FARRINGTON
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Credential | D.C.
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Telephone | 713-592-5650
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 7135
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License Number State | TX
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