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General NPI Number Information
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NPI Number | 1174077960
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Entity Type | Organization
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Legal Business Name | SPRINGFIELD THERAPY, LLC
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Dates
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Enumeration Date | 08/09/2016
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Last Update Date | 08/09/2016
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Provider Practice Location Address
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Address Line | 3121 MAPLE DR NE SUITE 223
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City | ATLANTA
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State | GA
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Zip | 30305-2512
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Country | US
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Telephone | 678-353-7073
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Fax | 678-325-1447
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Provider Business Mailing Address
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Address Line | 3715 NORTHSIDE PKWY NW BLDG 400 STE 150
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City | ATLANTA
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State | GA
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Zip | 30327-2882
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Country | US
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Telephone | 877-614-5227
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Fax | 678-325-1447
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Authorized Official
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Title or Position | CEO
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Name | JAMES K IRUNGU
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Credential |
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Telephone | 678-353-7073
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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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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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