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NPI 1063204741

NPI 1063204741 : CRECIENDO CON AMOR LLC : QUEBRADILLAS, PR

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General NPI Number Information
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    NPI Number           |    1063204741
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    Entity Type          |    Organization 
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    Legal Business Name  |    CRECIENDO CON AMOR LLC 
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Dates
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    Enumeration Date     |    05/20/2025
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    Last Update Date     |    05/20/2025
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Provider Practice Location Address
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    Address Line         |    CARR 484 KM 0.1 BO COCOS
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    City                 |    QUEBRADILLAS
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    State                |    PR
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    Zip                  |    00678-0000
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    Country              |    US
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    Telephone            |    787-895-9500
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 904 
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    City                 |    CAMUY
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    State                |    PR
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    Zip                  |    00627-0904
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    Country              |    US
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    Telephone            |    787-895-8500
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PRESIDENTA
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    Name                 |     LORNA I MOLINA 
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    Credential           |    LCDA
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    Telephone            |    787-410-6339
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    103T00000X
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    Taxonomy Name        |    Psychologist
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    235Z00000X
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    Taxonomy Name        |    Speech-Language Pathologist
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    224Z00000X
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    Taxonomy Name        |    Occupational Therapy Assistant
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    License Number       |    
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    License Number State |    
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