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General NPI Number Information
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NPI Number | 1083008775
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Entity Type | Organization
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Legal Business Name | SENSORY PUZZLES, INC.
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Dates
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Enumeration Date | 03/20/2015
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Last Update Date | 03/20/2015
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Provider Practice Location Address
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Address Line | 229 S PETERS RD
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City | KNOXVILLE
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State | TN
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Zip | 37923-5204
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Country | US
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Telephone | 865-221-1280
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Fax |
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Provider Business Mailing Address
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Address Line | 394 SCANDLYN HOLLOW RD
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City | OLIVER SPRINGS
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State | TN
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Zip | 37840-4314
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Country | US
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Telephone | 865-221-1280
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Fax |
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Authorized Official
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Title or Position | OCCUPATIONAL THERAPIST/OWNER
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Name | CRYSTAL DAWN HENLEY
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Credential | OTR/L
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Telephone | 865-221-1280
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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 | 3282
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License Number State | TN
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