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NPI 1811933377

NPI 1811933377 : NEW BEGINNINGS CHILDREN'S THERAPY : BROWNSVILLE, TX

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General NPI Number Information
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    NPI Number           |    1811933377
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    Entity Type          |    Organization 
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    Legal Business Name  |    NEW BEGINNINGS CHILDREN'S THERAPY 
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Dates
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    Enumeration Date     |    06/22/2006
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    Last Update Date     |    08/22/2020
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Provider Practice Location Address
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    Address Line         |    1200 CENTRAL BLVD SUITE B1-B2
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    City                 |    BROWNSVILLE
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    State                |    TX
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    Zip                  |    78520-7542
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    Country              |    US
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    Telephone            |    956-542-9800
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    Fax                  |    956-542-9830
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Provider Business Mailing Address
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    Address Line         |    1200 CENTRAL BLVD SUITE B1-B2
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    City                 |    BROWNSVILLE
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    State                |    TX
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    Zip                  |    78520-7542
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    Country              |    US
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    Telephone            |    956-542-9800
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    Fax                  |    956-542-9830
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    MR. GILBERT O'NEAL BOND 
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    Credential           |    M.ED.CCC SLP
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    Telephone            |    956-542-9800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QR0401X
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    Taxonomy Name        |    Comprehensive Outpatient Rehabilitation Facility (CORF)
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    License Number       |    800455367
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    License Number State |    TX
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