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General NPI Number Information
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NPI Number | 1225435738
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Entity Type | Organization
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Legal Business Name | KIDZ TREEHOUSE PEDIATRIC THERAPY, LLC.
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Dates
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Enumeration Date | 11/26/2014
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 1800 NE LOOP 410 STE 416
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City | SAN ANTONIO
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State | TX
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Zip | 78217
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Country | US
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Telephone | 210-919-7570
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Fax | 210-714-9511
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Provider Business Mailing Address
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Address Line | 1800 NE LOOP 410 STE 405
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City | SAN ANTONIO
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State | TX
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Zip | 78217-5210
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Country | US
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Telephone | 210-919-7570
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Fax | 210-714-9511
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Authorized Official
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Title or Position | DIRECTOR OF THERAPY/CO-FOUNDER
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Name | BELINDA I TAMEZ
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Credential |
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Telephone | 210-919-7570
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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 | 19155
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 19155
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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License Number | 19155
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License Number State | TX
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