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General NPI Number Information
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NPI Number | 1407169121
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Entity Type | Organization
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Legal Business Name | ANYTHING FOR THE KIDS, P.C.
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Dates
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Enumeration Date | 07/22/2010
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Last Update Date | 05/08/2015
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Provider Practice Location Address
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Address Line | 11901 TOEPPERWEIN RD SUITE 1106
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City | LIVE OAK
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State | TX
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Zip | 78233-3161
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Country | US
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Telephone | 210-651-1900
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Fax |
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Provider Business Mailing Address
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Address Line | 11901 TOEPPERWEIN RD SUITE 1106
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City | LIVE OAK
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State | TX
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Zip | 78233-3161
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Country | US
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Telephone | 210-651-1900
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | CYNTHIA GORDON
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Credential |
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Telephone | 210-651-1900
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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 | 106889
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License Number State | TX
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