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General NPI Number Information
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NPI Number | 1083672984
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Entity Type | Organization
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Legal Business Name | ON THE GO THERAPY SERVICES INC
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Dates
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Enumeration Date | 05/02/2006
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Last Update Date | 05/07/2015
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Provider Practice Location Address
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Address Line | 5968 CLARK CENTER AVE
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City | SARASOTA
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State | FL
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Zip | 34238-2715
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Country | US
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Telephone | 941-922-8200
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Fax | 941-343-9402
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Provider Business Mailing Address
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Address Line | 5968 CLARK CENTER AVE
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City | SARASOTA
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State | FL
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Zip | 34238-2715
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Country | US
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Telephone | 941-922-8200
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Fax | 941-343-9402
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. JULIE A BLANK
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Credential | PT
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Telephone | 941-922-8200
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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 |
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License Number State |
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Taxonomy #2
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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 #3
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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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