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General NPI Number Information
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NPI Number | 1104293596
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Entity Type | Organization
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Legal Business Name | NEW THINKERS THERAPY CORP
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Dates
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Enumeration Date | 09/01/2015
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Last Update Date | 09/01/2015
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Provider Practice Location Address
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Address Line | CARRETERA PR-2 KL 39.9 BO. ALGARROBO CENTRO COMERCIAL PLAZA JARDINES SUITE 105
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City | VEGA BAJA
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State | PR
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Zip | 00693-0000
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Country | US
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Telephone | 787-640-9806
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Fax | 787-807-7613
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Provider Business Mailing Address
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Address Line | PO BOX 419
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City | VEGA BAJA
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State | PR
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Zip | 00694-0000
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Country | US
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Telephone | 787-640-9806
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Fax | 787-807-7613
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. FELIX CARLOS RODRIGUEZ
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Credential | MS,OT-L
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Telephone | 787-640-9806
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | OTL-1100
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License Number State | PR
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