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General NPI Number Information
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NPI Number | 1912347295
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Entity Type | Organization
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Legal Business Name | BK THERAPY
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Dates
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Enumeration Date | 07/01/2013
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Last Update Date | 07/01/2013
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Provider Practice Location Address
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Address Line | 8335 N 25TH LN
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City | MCALLEN
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State | TX
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Zip | 78504-6168
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Country | US
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Telephone | 956-655-9286
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Fax | 956-664-1250
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Provider Business Mailing Address
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Address Line | 8335 N 25TH LN
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City | MCALLEN
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State | TX
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Zip | 78504-6168
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Country | US
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Telephone | 956-655-9286
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Fax | 956-664-1250
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Authorized Official
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Title or Position | OWNER/ADMIN
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Name | MARIA INEZ QUINTERO
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Credential | SLP
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Telephone | 956-655-9286
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 102624
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License Number State | TX
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