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General NPI Number Information
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NPI Number | 1144852039
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Entity Type | Organization
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Legal Business Name | HOME GROWN OCCUPATIONAL & PHYSICAL THERAPY 4 KIDS, PC
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Dates
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Enumeration Date | 02/07/2020
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Last Update Date | 03/22/2021
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Provider Practice Location Address
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Address Line | 30033 TECHNOLOGY DR STE 104
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City | MURRIETA
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State | CA
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Zip | 92563-2640
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Country | US
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Telephone | 951-813-2820
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Fax | 951-461-0535
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Provider Business Mailing Address
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Address Line | 30033 TECHNOLOGY DR STE 104
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City | MURRIETA
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State | CA
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Zip | 92563-2640
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Country | US
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Telephone | 951-813-2820
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Fax | 951-461-0535
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | MRS. DEBORAH LYNN KEMPSTON
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Credential | OTR/L
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Telephone | 858-254-1243
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251P0200X
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Taxonomy Name | Pediatric Physical 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 | 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 #3
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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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