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General NPI Number Information
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NPI Number | 1427212554
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Entity Type | Organization
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Legal Business Name | CHILDREN'S EVALUATION AND THERAPY CENTER
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Dates
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Enumeration Date | 07/17/2008
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Last Update Date | 07/17/2008
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Provider Practice Location Address
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Address Line | 12501 HYMEADOW DR SUITE F
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City | AUSTIN
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State | TX
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Zip | 78750-2263
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Country | US
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Telephone | 512-331-5488
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Fax | 512-331-5489
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Provider Business Mailing Address
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Address Line | 12501 HYMEADOW DR SUITE F
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City | AUSTIN
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State | TX
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Zip | 78750-2263
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Country | US
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Telephone | 512-331-5488
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Fax | 512-331-5489
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Authorized Official
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Title or Position | THERAPIST/PARTNER
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Name | MS. DIANNE HILL TANNREUTHER
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Credential | MS, OTR
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Telephone | 512-331-5488
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | 509300000
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License Number State | TX
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