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General NPI Number Information
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NPI Number | 1972923407
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Entity Type | Organization
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Legal Business Name | OMNIA THERAPY SERVICES L.L.C.
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Dates
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Enumeration Date | 04/23/2014
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Last Update Date | 04/23/2014
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Provider Practice Location Address
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Address Line | 1501 E. TRENTON
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City | EDINBURG
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State | TX
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Zip | 78542
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Country | US
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Telephone | 956-457-6779
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Fax | 956-992-8778
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Provider Business Mailing Address
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Address Line | PO BOX 3966
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City | EDINBURG
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State | TX
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Zip | 78540-3966
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Country | US
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Telephone | 956-457-6779
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Fax | 956-992-8778
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Authorized Official
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Title or Position | OWNER
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Name | MS. SYLVIA R. RODRIGUEZ
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Credential | OTR
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Telephone | 956-457-6779
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 24896
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License Number State | TX
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