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General NPI Number Information
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NPI Number | 1174417091
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Entity Type | Organization
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Legal Business Name | GROW UP CHILDREN'S THERAPY CENTER
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Dates
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Enumeration Date | 06/05/2025
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Last Update Date | 06/05/2025
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Provider Practice Location Address
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Address Line | URB GOLDEN HILLS CARR 876 BLOQUE A-1
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City | TRUJILLO ALTO
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State | PR
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Zip | 00976
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Country | US
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Telephone | 787-242-2984
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1242
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City | RIO GRANDE
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State | PR
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Zip | 00745-1242
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Country | US
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Telephone | 787-242-2984
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | YELIFFER MARIE LORENZO
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Credential | CCC-SLP
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Telephone | 787-242-2984
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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 | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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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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