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General NPI Number Information
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NPI Number | 1053204198
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Entity Type | Organization
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Legal Business Name | ATS KIDS LLC
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Dates
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Enumeration Date | 05/29/2025
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Last Update Date | 05/29/2025
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Provider Practice Location Address
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Address Line | 10 JIMMY DOOLITTLE DR STE A
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City | GREENVILLE
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State | SC
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Zip | 29607-2622
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Country | US
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Telephone | 864-520-8910
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Fax | 864-520-8912
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Provider Business Mailing Address
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Address Line | PO BOX 170038
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City | SPARTANBURG
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State | SC
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Zip | 29301-0020
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRACTICE ADMIN
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Name | KARLA JORDAN
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Credential |
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Telephone | 864-457-8922
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | 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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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