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General NPI Number Information
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NPI Number | 1164793568
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Entity Type | Organization
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Legal Business Name | THERAPY PROS LLC
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Dates
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Enumeration Date | 01/18/2012
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Last Update Date | 01/18/2012
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Provider Practice Location Address
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Address Line | 6049 E WETHERSFIELD RD
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City | SCOTTSDALE
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State | AZ
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Zip | 85254-4452
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Country | US
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Telephone | 480-650-5416
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Fax | 480-452-0203
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Provider Business Mailing Address
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Address Line | 6049 E WETHERSFIELD RD
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City | SCOTTSDALE
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State | AZ
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Zip | 85254-4452
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Country | US
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Telephone | 480-650-5416
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Fax | 480-452-0203
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Authorized Official
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Title or Position | OWNER/OCCUPATIONAL THERAPIST
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Name | MRS. LINDSI MARSH
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Credential | MS OTR/L
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Telephone | 480-650-5416
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 4528
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License Number State | AZ
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