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General NPI Number Information
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NPI Number | 1023480209
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Entity Type | Organization
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Legal Business Name | ORION PEDIATRIC THERAPY
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Dates
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Enumeration Date | 10/27/2015
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Last Update Date | 10/27/2015
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Provider Practice Location Address
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Address Line | 1606 E QUAIL ST D
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City | PHARR
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State | TX
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Zip | 78577-7167
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Country | US
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Telephone | 956-983-2440
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Fax | 832-582-3660
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Provider Business Mailing Address
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Address Line | 1606 E QUAIL ST D
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City | PHARR
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State | TX
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Zip | 78577-7167
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Country | US
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Telephone | 956-983-2440
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Fax | 832-582-3660
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | AUDRA ALVIZO
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Credential |
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Telephone | 956-983-2440
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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 | 101612
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License Number State | TX
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