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General NPI Number Information
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NPI Number | 1184194623
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Entity Type | Organization
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Legal Business Name | TAMPA CHOICE THERAPY LLC
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Dates
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Enumeration Date | 11/27/2018
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Last Update Date | 07/15/2021
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Provider Practice Location Address
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Address Line | 18946 NORTH DALE MABRY
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City | LUTZ
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State | FL
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Zip | 33548
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Country | US
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Telephone | 813-400-4321
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Fax | 888-305-0189
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Provider Business Mailing Address
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Address Line | 1736 HERON COVE DR
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City | LUTZ
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State | FL
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Zip | 33549-9386
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER / PROVIDER
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Name | DONNA KATO
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Credential |
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Telephone | 813-400-4321
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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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