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General NPI Number Information
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NPI Number | 1538713904
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Entity Type | Organization
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Legal Business Name | THE TEXAS INSTITUTE OF DEVELOPMENTAL PEDIATRICS
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Dates
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Enumeration Date | 07/24/2019
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Last Update Date | 07/24/2019
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Provider Practice Location Address
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Address Line | 2204 TROLLEY CV
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City | LEANDER
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State | TX
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Zip | 78641-2098
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Country | US
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Telephone | 303-552-4418
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Fax |
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Provider Business Mailing Address
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Address Line | 2204 TROLLEY CV
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City | LEANDER
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State | TX
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Zip | 78641-2098
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Country | US
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Telephone | 303-552-4418
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Fax |
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Authorized Official
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Title or Position | FOUNDER- EXECUTIVE DIRECTOR
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Name | MARY JONES
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Credential |
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Telephone | 303-552-4418
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 221700000X
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Taxonomy Name | Art 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 | 225A00000X
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Taxonomy Name | Music 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 | 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 #4
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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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Taxonomy #5
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Taxonomy Code | 385HR2050X
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Taxonomy Name | Respite Care Camp
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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 | 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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