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General NPI Number Information
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NPI Number | 1659683571
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Entity Type | Organization
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Legal Business Name | OPEN MY WORLD THERAPEUTIC RIDING CENTER
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Dates
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Enumeration Date | 07/08/2010
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 1020 COUNTY ROAD 270
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City | LEANDER
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State | TX
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Zip | 78641-1351
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Country | US
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Telephone | 512-259-6665
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Fax |
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Provider Business Mailing Address
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Address Line | 1020 COUNTY ROAD 270
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City | LEANDER
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State | TX
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Zip | 78641-1351
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Country | US
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Telephone | 512-259-6665
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | DONNA ROLAND
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Credential | MA SPECIAL EDUCATION
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Telephone | 512-259-6665
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 222Q00000X
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Taxonomy Name | Developmental Therapist
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License Number | 74653
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 74653
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number | 9
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License Number State | TX
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