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General NPI Number Information
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NPI Number | 1720461296
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Entity Type | Organization
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Legal Business Name | BUILDING BLOCKS FOR KIDS
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Dates
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Enumeration Date | 07/02/2015
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Last Update Date | 07/02/2015
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Provider Practice Location Address
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Address Line | 17385 SUN CHASE CIR
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City | HARLINGEN
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State | TX
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Zip | 78552-4125
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Country | US
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Telephone | 817-688-4471
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Fax |
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Provider Business Mailing Address
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Address Line | 17385 SUN CHASE CIR
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City | HARLINGEN
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State | TX
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Zip | 78552-4125
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Country | US
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Telephone | 817-688-4471
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | ANTHONY ESQUIVEL
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Credential | DPT
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Telephone | 806-789-4638
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 1163390
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License Number State | TX
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