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General NPI Number Information
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NPI Number | 1053650770
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Entity Type | Organization
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Legal Business Name | INTERACTIVE THERAPY SOLUTIONS INC
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Dates
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Enumeration Date | 02/01/2013
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Last Update Date | 02/28/2017
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Provider Practice Location Address
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Address Line | 520 NW 165TH STREET RD STE. 205
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City | MIAMI
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State | FL
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Zip | 33169-6303
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Country | US
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Telephone | 786-805-6454
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Fax | 800-397-0061
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Provider Business Mailing Address
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Address Line | 3860 NE 170TH ST UNIT 207
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City | NORTH MIAMI BEACH
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State | FL
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Zip | 33160-3121
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Country | US
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Telephone | 786-805-6454
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Fax | 800-397-0061
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Authorized Official
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Title or Position | OTR/L
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Name | MISS ANTONIA P THOMAS
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Credential |
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Telephone | 786-805-6454
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | OT14727
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License Number State | FL
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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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