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General NPI Number Information
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NPI Number | 1346873007
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Entity Type | Organization
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Legal Business Name | CASA PEDIATRIC CARE LLC
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Dates
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Enumeration Date | 02/20/2020
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Last Update Date | 08/16/2025
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Provider Practice Location Address
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Address Line | 201 PRESIDENTIAL DR STE 100
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City | LOWELL
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State | AR
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Zip | 72745-5040
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Country | US
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Telephone | 479-310-8958
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Fax | 479-431-5114
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Provider Business Mailing Address
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Address Line | PO BOX 189
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City | LOWELL
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State | AR
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Zip | 72745-0189
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Country | US
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Telephone | 479-310-8958
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Fax | 479-431-5114
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Authorized Official
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Title or Position | OWNER, SLP
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Name | RACHEL G. GUERRA
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Credential | MS, CCC-SLP
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Telephone | 479-220-1847
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #3
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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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