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General NPI Number Information
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NPI Number | 1710704218
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Entity Type | Organization
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Legal Business Name | THERAPY KIDDOS 4 YOU
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Dates
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Enumeration Date | 09/25/2024
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Last Update Date | 09/25/2024
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Provider Practice Location Address
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Address Line | SANTA MONICA A8 CALLE 13
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City | BAYAMON
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State | PR
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Zip | 00957
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Country | US
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Telephone | 787-394-1871
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Fax |
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Provider Business Mailing Address
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Address Line | URB. VICTORIA HEIGHTS CALLE 3 J7
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City | BAYAMON
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State | PR
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Zip | 00959
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Country | US
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Telephone | 787-394-1871
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | KIDANNY ALEXIS GONZALEZ MULERO
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Credential |
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Telephone | 787-394-1871
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2355S0801X
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Taxonomy Name | Speech-Language Assistant
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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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