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General NPI Number Information
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NPI Number | 1275081044
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Entity Type | Organization
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Legal Business Name | LEORA SALO DESIGNS, INC
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Dates
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Enumeration Date | 09/21/2016
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Last Update Date | 09/21/2016
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Provider Practice Location Address
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Address Line | 5959 W. LOOP SOUTH SUITE 206
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City | HOUSTON
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State | TX
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Zip | 77254
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Country | US
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Telephone | 713-557-5589
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 541221
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City | HOUSTON
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State | TX
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Zip | 77254-1221
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Country | US
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Telephone | 713-557-5589
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | LEORA H SALO
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Credential | OTR
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Telephone | 713-557-5589
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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 | 105856
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License Number State | TX
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