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General NPI Number Information
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NPI Number | 1003452582
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Entity Type | Organization
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Legal Business Name | NORTH NAPLES THERAPY & ENRICHMENT SERVICES, P.A.
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Dates
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Enumeration Date | 11/20/2019
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Last Update Date | 05/23/2023
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Provider Practice Location Address
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Address Line | 1421 PINE RIDGE RD STE 120
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City | NAPLES
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State | FL
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Zip | 34109-2116
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Country | US
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Telephone | 239-597-0935
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Fax | 239-597-0031
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Provider Business Mailing Address
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Address Line | 1421 PINE RIDGE RD STE 120
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City | NAPLES
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State | FL
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Zip | 34109-2116
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Country | US
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Telephone | 239-597-0935
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Fax | 239-597-0031
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. KATHRYN MITCHELL
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Credential | MS, OTR/L
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Telephone | 239-597-0935
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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Taxonomy Code | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number |
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License Number State |
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