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NPI 1871614537

NPI 1871614537 : PEDIATRICS UNLIMITED INC : SPARTANBURG, SC

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General NPI Number Information
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    NPI Number           |    1871614537
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    Entity Type          |    Organization 
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    Legal Business Name  |    PEDIATRICS UNLIMITED INC 
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Dates
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    Enumeration Date     |    04/02/2007
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    Last Update Date     |    09/11/2025
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Provider Practice Location Address
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    Address Line         |    355 OAK GROVE ROAD 
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    City                 |    SPARTANBURG
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    State                |    SC
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    Zip                  |    29301
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    Country              |    US
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    Telephone            |    864-595-4225
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    Fax                  |    864-595-4821
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Provider Business Mailing Address
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    Address Line         |    355 OAK GROVE ROAD 
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    City                 |    SPARTANBURG
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    State                |    SC
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    Zip                  |    29301
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    Country              |    US
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    Telephone            |    864-595-4225
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    Fax                  |    864-595-4821
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     KATHLEEN  MAXWELL 
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    Credential           |    OTR L
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    Telephone            |    864-595-4225
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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       |    
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    License Number State |    
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Taxonomy #2
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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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Taxonomy #3
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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 #4
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    Taxonomy Code        |    225A00000X
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    Taxonomy Name        |    Music Therapist
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    License Number       |    
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    License Number State |    
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