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General NPI Number Information
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NPI Number | 1225991615
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Entity Type | Organization
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Legal Business Name | ADVENTURE SPROUTS KIDS THERAPY PLLC
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Dates
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Enumeration Date | 12/03/2025
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 5720 BANDERA RD STE 21
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City | SAN ANTONIO
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State | TX
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Zip | 78238-1985
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Country | US
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Telephone | 210-817-8525
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Fax |
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Provider Business Mailing Address
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Address Line | 6702 MANASSAS DR
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City | SAN ANTONIO
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State | TX
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Zip | 78240-2847
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Country | US
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Telephone | 956-251-3788
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ALBERTO OMAR PEREZ JR.
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Credential | THERAPIST
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Telephone | 956-251-3788
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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 |
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License Number State |
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