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General NPI Number Information
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NPI Number | 1831844117
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Entity Type | Organization
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Legal Business Name | SMART KIDS THERAPY LLC
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Dates
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Enumeration Date | 02/15/2022
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Last Update Date | 10/14/2025
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Provider Practice Location Address
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Address Line | 115 AVE BARBOSA
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City | CATANO
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State | PR
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Zip | 00962-4780
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Country | US
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Telephone | 787-596-9616
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Fax |
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Provider Business Mailing Address
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Address Line | 115 AVE BARBOSA
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City | CATANO
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State | PR
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Zip | 00962-4780
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Country | US
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Telephone | 787-596-9616
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. EDWIN AVILES MERCED
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Credential | BUSINESS
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Telephone | 787-596-9616
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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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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Taxonomy #3
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Taxonomy Code | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number |
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License Number State |
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