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General NPI Number Information
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NPI Number | 1952816274
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Entity Type | Organization
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Legal Business Name | BUILD LEARN THRIVE, PC
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Dates
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Enumeration Date | 12/08/2017
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Last Update Date | 08/26/2023
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Provider Practice Location Address
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Address Line | 2211 POST ST STE 300
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City | SAN FRANCISCO
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State | CA
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Zip | 94115-3442
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Country | US
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Telephone | 408-930-5860
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Fax |
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Provider Business Mailing Address
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Address Line | 945 TARAVAL ST # 204
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City | SAN FRANCISCO
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State | CA
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Zip | 94116-2422
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Country | US
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Telephone | 408-930-5860
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Fax |
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Authorized Official
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Title or Position | FOUNDER
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Name | MEILANI CONNOLLY
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Credential | OTR/L
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Telephone | 408-930-5860
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | 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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 3625
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License Number State | CA
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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 | 22969
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License Number State | CA
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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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