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General NPI Number Information
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NPI Number | 1164308672
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Entity Type | Organization
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Legal Business Name | FOUNDATIONS, LLC
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Dates
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Enumeration Date | 08/12/2025
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Last Update Date | 09/10/2025
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Provider Practice Location Address
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Address Line | 400 ERIN CIR
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City | HARTFORD
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State | SD
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Zip | 57033-2073
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Country | US
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Telephone | 605-988-4528
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Fax | 605-528-3058
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Provider Business Mailing Address
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Address Line | 400 ERIN CIR
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City | HARTFORD
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State | SD
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Zip | 57033-2073
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Country | US
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Telephone | 605-705-0254
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Fax | 605-528-3058
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Authorized Official
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Title or Position | OWNER/MANAGER
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Name | JILL GABBERT
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Credential | OTR/L
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Telephone | 605-988-4528
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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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