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General NPI Number Information
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NPI Number | 1972920122
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Entity Type | Organization
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Legal Business Name | HORIZONS PEDIATRIC THERAPY PLLC
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Dates
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Enumeration Date | 03/26/2014
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Last Update Date | 11/22/2023
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Provider Practice Location Address
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Address Line | 109 CARLINA LOOP
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City | LIBERTY HILL
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State | TX
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Zip | 78642-0025
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Country | US
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Telephone | 346-531-9448
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Fax | 512-988-5459
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Provider Business Mailing Address
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Address Line | 109 CARLINA LOOP
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City | LIBERTY HILL
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State | TX
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Zip | 78642-0025
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Country | US
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Telephone | 512-884-0175
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Fax |
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Authorized Official
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Title or Position | PROVIDER
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Name | MS. TARA NICOLE TROTT
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Credential | M.S, CCC-SLP
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Telephone | 512-884-0175
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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License Number | 110687
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 261QD1600X
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Taxonomy Name | Developmental Disabilities Clinic/Center
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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 | 261QA3000X
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Taxonomy Name | Augmentative Communication Clinic/Center
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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 | 171W00000X
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Taxonomy Name | Contractor
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 1744G0900X
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Taxonomy Name | Graphics Designer
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 174H00000X
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Taxonomy Name | Health Educator
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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