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General NPI Number Information
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NPI Number | 1750695011
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Entity Type | Organization
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Legal Business Name | THERAKIDS
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Dates
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Enumeration Date | 07/28/2010
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Last Update Date | 07/28/2010
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Provider Practice Location Address
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Address Line | 13 GOLDENEYE CT
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City | NEW BRITAIN
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State | PA
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Zip | 18901-5020
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Country | US
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Telephone | 267-261-5255
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Fax |
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Provider Business Mailing Address
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Address Line | 13 GOLDENEYE CT
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City | NEW BRITAIN
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State | PA
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Zip | 18901-5020
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Country | US
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Telephone | 267-261-5255
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. REGINA O'BRIEN KAPLAN
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Credential | PT
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Telephone | 267-261-5255
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251P0200X
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Taxonomy Name | Pediatric Physical Therapist
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License Number | PT006096L
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License Number State | PA
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