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General NPI Number Information
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NPI Number | 1164919734
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Entity Type | Organization
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Legal Business Name | OT PLUS, LLC
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Dates
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Enumeration Date | 04/18/2018
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Last Update Date | 04/18/2018
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Provider Practice Location Address
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Address Line | 29540 E 160TH CT
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City | BRIGHTON
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State | CO
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Zip | 80603-8423
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Country | US
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Telephone | 719-651-6776
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Fax | 303-659-2841
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Provider Business Mailing Address
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Address Line | 29540 E 160TH CT
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City | BRIGHTON
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State | CO
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Zip | 80603-8423
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Country | US
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Telephone | 719-651-6776
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Fax | 303-659-2841
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Authorized Official
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Title or Position | OWNER/OCCUPATIONAL THERAPIST
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Name | MRS. GINA SMITH
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Credential | OTR
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Telephone | 719-651-6776
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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