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General NPI Number Information
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NPI Number | 1134930803
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Entity Type | Organization
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Legal Business Name | THERAPEUKIDS LLC
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Dates
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Enumeration Date | 01/14/2025
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Last Update Date | 05/21/2025
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Provider Practice Location Address
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Address Line | 17 AVE DEGETAU URB. BONEVILLE HEIGHTS
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City | CAGUAS
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State | PR
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Zip | 00725-2366
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Country | US
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Telephone | 939-383-4834
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Fax |
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Provider Business Mailing Address
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Address Line | HC 3 BOX 16053
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City | AGUAS BUENAS
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State | PR
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Zip | 00703-8371
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Country | US
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Telephone | 787-944-8044
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | NITZELY HERNANDEZ
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Credential |
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Telephone | 787-944-8044
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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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 | 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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