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General NPI Number Information
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NPI Number | 1285871996
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Entity Type | Organization
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Legal Business Name | VALLEY KIDS REHABILITATION SERVICES INC
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Dates
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Enumeration Date | 01/16/2009
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Last Update Date | 01/16/2009
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Provider Practice Location Address
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Address Line | 2701 E PRICE RD SUITE I
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City | BROWNSVILLE
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State | TX
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Zip | 78521-2235
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Country | US
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Telephone | 956-371-8269
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Fax | 501-647-1809
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Provider Business Mailing Address
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Address Line | 2701 E PRICE RD SUITE I
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City | BROWNSVILLE
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State | TX
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Zip | 78521-2235
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Country | US
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Telephone | 956-371-8269
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Fax | 501-647-1809
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. HARIGOVINDAN V NAMPOOTHIRI
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Credential |
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Telephone | 956-371-8269
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251P0200X
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Taxonomy Name | Pediatric Physical Therapist
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License Number | 1158203
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License Number State | TX
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