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General NPI Number Information
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NPI Number | 1083902076
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Entity Type | Organization
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Legal Business Name | LAREDO KIDS ADVANCED THERAPY
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Dates
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Enumeration Date | 07/12/2011
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Last Update Date | 02/16/2024
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Provider Practice Location Address
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Address Line | 6508 N BARTLETT AVE STE D
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City | LAREDO
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State | TX
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Zip | 78041-6446
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Country | US
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Telephone | 956-723-6600
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Fax | 956-723-6614
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Provider Business Mailing Address
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Address Line | 6508 N BARTLETT AVE STE D
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City | LAREDO
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State | TX
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Zip | 78041-6446
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Country | US
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Telephone | 956-723-6600
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Fax | 956-723-6614
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Authorized Official
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Title or Position | OWNER/ADMINISTRATOR
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Name | MS. SELINA R RAMOS
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Credential |
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Telephone | 956-231-6760
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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