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NPI 1003081969

NPI 1003081969 : PLAYTIME THERAPY SOLUTIONS : INDIANAPOLIS, IN

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General NPI Number Information
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    NPI Number           |    1003081969
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    Entity Type          |    Organization 
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    Legal Business Name  |    PLAYTIME THERAPY SOLUTIONS 
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Dates
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    Enumeration Date     |    04/22/2008
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    Last Update Date     |    04/23/2008
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Provider Practice Location Address
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    Address Line         |    8812 STONEWALL DR 
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    City                 |    INDIANAPOLIS
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    State                |    IN
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    Zip                  |    46231-2571
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    Country              |    US
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    Telephone            |    317-441-7286
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    Fax                  |    317-243-8499
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Provider Business Mailing Address
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    Address Line         |    8812 STONEWALL DR 
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    City                 |    INDIANAPOLIS
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    State                |    IN
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    Zip                  |    46231-2571
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    Country              |    US
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    Telephone            |    317-441-7286
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    Fax                  |    317-243-8499
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    MRS. CHRISTI T DUTCHESS 
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    Credential           |    M.S., O.T.R.
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    Telephone            |    317-441-7286
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    225X00000X
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    Taxonomy Name        |    Occupational Therapist
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    License Number       |    31001955A
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    License Number State |    IN
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