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General NPI Number Information
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NPI Number | 1427305143
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Entity Type | Organization
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Legal Business Name | CDT KIDS
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Dates
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Enumeration Date | 08/13/2012
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Last Update Date | 08/22/2017
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Provider Practice Location Address
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Address Line | 3324 E RAY RD UNIT 340
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City | HIGLEY
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State | AZ
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Zip | 85236-4516
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Country | US
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Telephone | 480-265-5557
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Fax |
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Provider Business Mailing Address
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Address Line | 3324 E RAY RD UNIT 340
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City | HIGLEY
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State | AZ
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Zip | 85236-4516
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Country | US
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Telephone | 480-265-5557
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | REBECCA CURTNER
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Credential |
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Telephone | 480-265-5557
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | 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 | 2355S0801X
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Taxonomy Name | Speech-Language Assistant
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License Number | SLPA7019
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License Number State | AZ
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Taxonomy #4
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 261QX0100X
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Taxonomy Name | Occupational Medicine Clinic/Center
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License Number |
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License Number State |
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Taxonomy #6
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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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