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General NPI Number Information
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NPI Number | 1639080609
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Entity Type | Individual
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Provider Name | KATHLEYA MARIE AQUINO-DELA CRUZ OTR, MBA
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Gender | Female
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Dates
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Enumeration Date | 09/16/2026
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Last Update Date | 09/16/2026
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Provider Practice Location Address
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Address Line | 2222 MEDICAL DISTRICT DR STE 210
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City | DALLAS
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State | TX
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Zip | 75235-8075
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Country | US
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Telephone | 214-867-6986
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Fax |
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Provider Business Mailing Address
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Address Line | 3825 MAPLESHADE LN APT 6105
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City | PLANO
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State | TX
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Zip | 75075-5797
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 18569
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License Number State | CA
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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 | 124250
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License Number State | TX
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