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General NPI Number Information
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NPI Number | 1538814520
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Entity Type | Organization
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Legal Business Name | SAINT RITA PEDIATRIC THERAPIES LLC
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Dates
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Enumeration Date | 02/17/2022
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Last Update Date | 02/22/2025
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Provider Practice Location Address
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Address Line | 8524 S. WESTERN SUITE 113
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City | OKLAHOMA CITY
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State | OK
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Zip | 73139
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Country | US
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Telephone | 405-221-8595
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Fax | 405-931-0022
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Provider Business Mailing Address
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Address Line | 8524 S. WESTERN SUITE 113
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City | OKLAHOMA CITY
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State | OK
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Zip | 73139
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Country | US
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Telephone | 405-221-8595
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Fax | 405-931-0022
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Authorized Official
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Title or Position | CEO
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Name | MR. AMADOR CARDOZA
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Credential |
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Telephone | 405-221-8595
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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 | 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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Taxonomy #4
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Taxonomy Code | 2355S0801X
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Taxonomy Name | Speech-Language Assistant
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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 | 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 #6
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #9
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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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