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General NPI Number Information
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NPI Number | 1164908612
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Entity Type | Organization
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Legal Business Name | GET SET GROW THERAPIES
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Dates
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Enumeration Date | 07/18/2018
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Last Update Date | 01/17/2023
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Provider Practice Location Address
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Address Line | 2276 CANDIES LN NW
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City | CLEVELAND
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State | TN
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Zip | 37312-2619
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Country | US
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Telephone | 423-328-8745
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Fax | 423-717-5543
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Provider Business Mailing Address
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Address Line | PO BOX 2378
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City | DALTON
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State | GA
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Zip | 30722-2378
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Country | US
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Telephone | 423-328-8745
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Fax | 423-717-5543
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Authorized Official
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Title or Position | OCCUPATIONAL THERAPIST
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Name | DR. KENDRA RENEA RUTLEDGE
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Credential | OTD, OTR/L
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Telephone | 423-328-8745
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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 | 4209
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License Number State | TN
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