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General NPI Number Information
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NPI Number | 1134734783
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Entity Type | Organization
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Legal Business Name | PEDIATRIC THERAPY LINKS, LLC
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Dates
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Enumeration Date | 09/10/2020
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Last Update Date | 10/13/2023
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Provider Practice Location Address
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Address Line | 2684 SW IMMANUEL DR
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City | PALM CITY
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State | FL
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Zip | 34990-2738
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Country | US
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Telephone | 772-291-2179
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Fax | 772-600-8274
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Provider Business Mailing Address
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Address Line | 1151 SW 30TH ST STE E
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City | PALM CITY
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State | FL
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Zip | 34990-2985
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Country | US
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Telephone | 772-291-2179
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Fax | 772-600-8274
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Authorized Official
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Title or Position | SPEECH LANGUAGE PATHOLOGIST/ OWNER
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Name | KERRI DELBARCO UNGAR
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Credential | M.S. CCC-SLP
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Telephone | 772-291-2179
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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 | 225XP0200X
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Taxonomy Name | Pediatric Occupational 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 | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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