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General NPI Number Information
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NPI Number | 1194141747
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Entity Type | Organization
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Legal Business Name | KIDSZONE DEVELOPMENT AND LANGUAGE CENTER
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Dates
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Enumeration Date | 03/06/2014
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Last Update Date | 11/23/2021
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Provider Practice Location Address
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Address Line | 1055 MARGINAL JF KENNEDY EDIFICIO ILA SUITE 411-A
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City | SAN JUAN
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State | PR
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Zip | 00920-1715
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Country | US
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Telephone | 787-413-8068
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Fax | 787-731-3420
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Provider Business Mailing Address
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Address Line | F8 CALLE 6 RIBERAS DEL RIO
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City | BAYAMON
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State | PR
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Zip | 00959
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Country | US
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Telephone | 787-413-8068
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Fax | 787-731-3420
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOAN MARIE RIVERA TORO
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Credential | BCBA, SLP CCC MS
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Telephone | 787-413-8068
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 2007
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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