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NPI 1134408651

NPI 1134408651 : GERARDO HUERTA OTR, CHT : SAN ANTONIO, TX

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General NPI Number Information
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    NPI Number           |    1134408651
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    Entity Type          |    Individual 
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    Provider Name        |    GERARDO HUERTA OTR, CHT
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    08/15/2011
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    Last Update Date     |    12/09/2024
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Provider Practice Location Address
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    Address Line         |    21 SPURS LN STE 248 
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    City                 |    SAN ANTONIO
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    State                |    TX
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    Zip                  |    78240-1671
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    Country              |    US
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    Telephone            |    210-558-7025
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    Fax                  |    210-558-4762
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Provider Business Mailing Address
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    Address Line         |    21 SPURS LN STE 248 
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    City                 |    SAN ANTONIO
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    State                |    TX
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    Zip                  |    78240-1671
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    Country              |    US
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    Telephone            |    210-558-7025
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    Fax                  |    210-558-4762
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    225X00000X
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    Taxonomy Name        |    Occupational Therapist
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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        |    225XH1200X
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    Taxonomy Name        |    Hand Occupational Therapist
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    License Number       |    109571
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    License Number State |    TX
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