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General NPI Number Information
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NPI Number | 1629148200
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Entity Type | Organization
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Legal Business Name | ADVANCED PEDIATRIC THERAPIES, LLC
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Dates
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Enumeration Date | 11/09/2006
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Last Update Date | 06/06/2024
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Provider Practice Location Address
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Address Line | 1625 E PRATER WAY STE 107
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City | SPARKS
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State | NV
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Zip | 89434-8963
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Country | US
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Telephone | 775-825-4744
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Fax | 775-351-1644
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Provider Business Mailing Address
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Address Line | 1025 ROBERTA LN
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City | SPARKS
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State | NV
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Zip | 89431-1893
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Country | US
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Telephone | 775-825-4744
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Fax | 775-351-1644
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Authorized Official
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Title or Position | OWNER DIRECTOR
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Name | JULIE BEMUS ORTIZ
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Credential | M.S. CCC SLP
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Telephone | 775-825-4744
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SP 672
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License Number State | NV
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