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General NPI Number Information
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NPI Number | 1184180697
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Entity Type | Organization
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Legal Business Name | OT4LIFE OCCUPATIONAL THERAPY FOR CHILDREN, LLC
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Dates
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Enumeration Date | 02/20/2019
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Last Update Date | 02/20/2019
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Provider Practice Location Address
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Address Line | 18794 POINT CYPRESS COURT
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City | BOCA RATON
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State | FL
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Zip | 33498-6344
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Country | US
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Telephone | 561-419-3944
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Fax |
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Provider Business Mailing Address
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Address Line | 18794 POINT CYPRESS COURT
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City | BOCA RATON
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State | FL
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Zip | 33498-6344
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Country | US
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Telephone | 561-419-3944
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/OCCUPATIONAL THERAPIST
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Name | HEIDI DAKIN
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Credential | MOT, OTR/L
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Telephone | 561-419-3944
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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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 | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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