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General NPI Number Information
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NPI Number | 1346500774
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Entity Type | Organization
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Legal Business Name | ANGELITOS 'LITTLE ANGELS' PEDIATRIC THERAPY SERVICES LLC
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Dates
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Enumeration Date | 05/18/2012
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Last Update Date | 05/18/2012
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Provider Practice Location Address
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Address Line | 8277 WINDING PASSAGE DR
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City | COLORADO SPRINGS
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State | CO
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Zip | 80924-8114
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Country | US
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Telephone | 719-304-6976
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Fax |
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Provider Business Mailing Address
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Address Line | 8277 WINDING PASSAGE DR
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City | COLORADO SPRINGS
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State | CO
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Zip | 80924-8114
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Country | US
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Telephone | 719-304-6976
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Fax |
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Authorized Official
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Title or Position | OCCUPATIONAL THERAPIST
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Name | LAUREN JOANNE LOMBARDI
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Credential | OTR, OTD
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Telephone | 719-304-6976
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number | 832
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License Number State | CO
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