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NPI 1659167641

NPI 1659167641 : LITTLESTEPS STAR LLC : PROSPER, TX

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General NPI Number Information
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    NPI Number           |    1659167641
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    Entity Type          |    Organization 
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    Legal Business Name  |    LITTLESTEPS STAR LLC 
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Dates
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    Enumeration Date     |    04/16/2025
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    Last Update Date     |    04/16/2025
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Provider Practice Location Address
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    Address Line         |    1630 W PROSPER TRL STE 120,130 
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    City                 |    PROSPER
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    State                |    TX
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    Zip                  |    75078-3743
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    Country              |    US
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    Telephone            |    682-401-6725
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    650 EDGEWOOD LN 
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    City                 |    PROSPER
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    State                |    TX
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    Zip                  |    75078-5706
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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    |    OWNER
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    Name                 |     SINDHU  DESHINENI 
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    Credential           |    
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    Telephone            |    682-401-6725
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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       |    
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    License Number State |    
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Taxonomy #2
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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 #3
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    Taxonomy Code        |    103K00000X
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    Taxonomy Name        |    Behavior Analyst
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    License Number       |    
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    License Number State |    
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