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General NPI Number Information
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NPI Number | 1427376813
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Entity Type | Organization
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Legal Business Name | THE KIDS SPOT PEDIATRIC REHAB
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Dates
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Enumeration Date | 05/10/2010
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Last Update Date | 05/10/2010
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Provider Practice Location Address
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Address Line | 3675 BOCA CHICA BLVD SUITE B
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City | BROWNSVILLE
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State | TX
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Zip | 78521-4483
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Country | US
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Telephone | 956-546-7800
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Fax | 956-546-7803
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Provider Business Mailing Address
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Address Line | 512 VICTORIA LN SUITE 13
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City | HARLINGEN
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State | TX
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Zip | 78550-3226
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Country | US
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Telephone | 956-412-6060
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Fax | 956-412-6070
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Authorized Official
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Title or Position | OFFICE ADMIN
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Name | ALMA LETICIA VILLAREAL
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Credential |
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Telephone | 956-412-6060
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2355S0801X
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Taxonomy Name | Speech-Language Assistant
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License Number | 33228
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 2355S0801X
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Taxonomy Name | Speech-Language Assistant
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License Number | 35147
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License Number State | TX
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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 | 33536
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 2355S0801X
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Taxonomy Name | Speech-Language Assistant
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License Number | 33024
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License Number State | TX
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Taxonomy #5
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Taxonomy Code | 2355S0801X
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Taxonomy Name | Speech-Language Assistant
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License Number | 35290
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License Number State | TX
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Taxonomy #6
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Taxonomy Code | 2355S0801X
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Taxonomy Name | Speech-Language Assistant
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License Number | 34296
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License Number State | TX
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Taxonomy #7
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Taxonomy Code | 2355S0801X
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Taxonomy Name | Speech-Language Assistant
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License Number | 33478
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License Number State | TX
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Taxonomy #8
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Taxonomy Code | 2355S0801X
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Taxonomy Name | Speech-Language Assistant
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License Number | 34688
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License Number State | TX
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Taxonomy #9
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 102304
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License Number State | TX
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Taxonomy #10
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 103454
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License Number State | TX
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Taxonomy #11
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 17791
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License Number State | TX
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Taxonomy #12
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 103021
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License Number State | TX
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Taxonomy #13
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 102914
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License Number State | TX
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