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NPI 1518781004

NPI 1518781004 : INFINITY & BEYOND KIDZ LLC : GARDEN RIDGE, TX

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General NPI Number Information
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    NPI Number           |    1518781004
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    Entity Type          |    Organization 
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    Legal Business Name  |    INFINITY & BEYOND KIDZ LLC 
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Dates
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    Enumeration Date     |    11/11/2024
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    Last Update Date     |    11/05/2025
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Provider Practice Location Address
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    Address Line         |    19315 FM 2252 STE 150 
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    City                 |    GARDEN RIDGE
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    State                |    TX
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    Zip                  |    78266-2516
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    Country              |    US
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    Telephone            |    210-483-3237
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    Fax                  |    726-238-3322
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Provider Business Mailing Address
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    Address Line         |    210 GOODFELLA AVE 
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    City                 |    CIBOLO
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    State                |    TX
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    Zip                  |    78108-0197
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    Country              |    US
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    Telephone            |    210-483-3237
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PEDIATRIC OCCUPATIONAL THERAPIST
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    Name                 |     YANIRA  ARCE MARTINEZ 
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    Credential           |    
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    Telephone            |    210-483-3237
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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       |    
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    License Number State |    
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