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General NPI Number Information
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NPI Number | 1144486036
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Entity Type | Organization
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Legal Business Name | KIDGROUPS, LLC
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Dates
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Enumeration Date | 07/31/2008
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Last Update Date | 07/31/2008
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Provider Practice Location Address
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Address Line | 2840 PEACHTREE RD NW #411
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City | ATLANTA
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State | GA
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Zip | 30305-2924
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Country | US
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Telephone | 404-808-4222
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Fax |
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Provider Business Mailing Address
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Address Line | 2840 PEACHTREE RD NW #411
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City | ATLANTA
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State | GA
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Zip | 30305-2924
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Country | US
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Telephone | 404-808-4222
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Fax |
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Authorized Official
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Title or Position | CO-OWNER/OCCUPATIONAL THERAPIST
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Name | ERIN NOLAN ROSENKRANZ
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Credential | MS,OTR/L
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Telephone | 404-808-4222
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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 | OT004139
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | OT003669
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License Number State | GA
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