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General NPI Number Information
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NPI Number | 1922620822
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Entity Type | Organization
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Legal Business Name | TODDLER TOWN REHAB, LLC
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Dates
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Enumeration Date | 05/13/2020
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Last Update Date | 08/10/2021
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Provider Practice Location Address
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Address Line | 5219 S MCCOLL RD STE D
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City | EDINBURG
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State | TX
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Zip | 78539-3168
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Country | US
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Telephone | 956-648-6962
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Fax |
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Provider Business Mailing Address
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Address Line | 3013 TERESA AVE
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City | MCALLEN
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State | TX
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Zip | 78503-1825
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Country | US
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Telephone | 956-648-6962
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | JOSE HOMERO HINOJOSA JR.
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Credential |
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Telephone | 956-648-6962
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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 | 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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Taxonomy #4
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number |
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License Number State |
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