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General NPI Number Information
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NPI Number | 1972744456
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Entity Type | Organization
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Legal Business Name | PLB SERVICES, LLC
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Dates
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Enumeration Date | 03/13/2009
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Last Update Date | 03/13/2009
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Provider Practice Location Address
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Address Line | 131 ARVIN DR
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City | SAN ANTONIO
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State | TX
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Zip | 78209-6003
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Country | US
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Telephone | 210-562-0748
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Fax |
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Provider Business Mailing Address
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Address Line | 131 ARVIN DR
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City | SAN ANTONIO
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State | TX
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Zip | 78209-6003
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Country | US
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Telephone | 210-562-0748
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. HEATHER ELIZABETH O'BRIEN
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Credential | OTR
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Telephone | 210-562-0748
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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 | 225XF0002X
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Taxonomy Name | Feeding, Eating & Swallowing 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 | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | 107536
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License Number State | TX
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