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General NPI Number Information
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NPI Number | 1972394815
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Entity Type | Individual
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Provider Name | KADESHIA RIBEIRO
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Gender | Female
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Dates
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Enumeration Date | 05/12/2025
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Last Update Date | 05/12/2025
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Provider Practice Location Address
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Address Line | 3504 SWISS AVE
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City | DALLAS
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State | TX
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Zip | 75204-6224
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Country | US
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Telephone | 214-820-9700
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Fax |
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Provider Business Mailing Address
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Address Line | 7827 FRENCH MARIGOLD LN
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City | HOUSTON
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State | TX
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Zip | 77016-1654
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Country | US
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Telephone | 609-251-8907
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225XN1300X
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Taxonomy Name | Neurorehabilitation Occupational Therapist
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License Number | 122290
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 225XP0019X
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Taxonomy Name | Physical Rehabilitation Occupational Therapist
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License Number | 122290
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 122290
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License Number State | TX
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