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General NPI Number Information
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NPI Number | 1083030282
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Entity Type | Organization
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Legal Business Name | CHARITY THERAPY LLC
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Dates
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Enumeration Date | 03/12/2014
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Last Update Date | 03/12/2014
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Provider Practice Location Address
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Address Line | 1108 N. ELLIS ST
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City | GROESBECK
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State | TX
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Zip | 76642
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Country | US
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Telephone | 903-390-5756
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Fax |
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Provider Business Mailing Address
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Address Line | 1108 N. ELLIS ST
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City | GROESBECK
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State | TX
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Zip | 76642
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Country | US
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Telephone | 903-390-5756
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JOSEPH MCNEIL
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Credential | O.T.
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Telephone | 903-390-5756
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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 | 106281
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License Number State | TX
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