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General NPI Number Information
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NPI Number | 1649159484
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Entity Type | Organization
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Legal Business Name | EDUC-KM THERAPY LLC
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Dates
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Enumeration Date | 08/27/2025
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Last Update Date | 08/28/2025
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Provider Practice Location Address
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Address Line | 711 CALLE BALDORIOTY DE CASTRO STE 202
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City | SAN JUAN
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State | PR
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Zip | 00918-4443
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Country | US
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Telephone | 787-632-4811
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Fax |
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Provider Business Mailing Address
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Address Line | 711 CALLE BALDORIOTY DE CASTRO STE 202
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City | SAN JUAN
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State | PR
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Zip | 00918-4443
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Country | US
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Telephone | 787-632-4811
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Fax |
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Authorized Official
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Title or Position | PRESIDENTA
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Name | KIRSY MARIANO
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Credential |
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Telephone | 787-632-4811
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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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 | 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 #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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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