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General NPI Number Information
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NPI Number | 1144862533
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Entity Type | Organization
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Legal Business Name | EAT PLAY LEARN PEDIATRIC THERAPY
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Dates
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Enumeration Date | 10/17/2019
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Last Update Date | 07/06/2025
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Provider Practice Location Address
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Address Line | 108 KINGSLEY AVE STE 2
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City | ORANGE PARK
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State | FL
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Zip | 32073-5686
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Country | US
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Telephone | 904-531-4642
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Fax | 904-592-5333
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Provider Business Mailing Address
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Address Line | 276 SE DAMITA GLN
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City | LAKE CITY
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State | FL
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Zip | 32025-2253
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Country | US
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Telephone | 904-531-4642
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Fax | 904-592-5329
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Authorized Official
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Title or Position | OWNER
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Name | DANIELLE MCCALLISTER
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Credential |
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Telephone | 386-288-6647
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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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 | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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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 | 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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