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General NPI Number Information
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NPI Number | 1194852905
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Entity Type | Organization
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Legal Business Name | HELPING CHILDREN SHINE INC.
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Dates
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Enumeration Date | 02/28/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 751 17TH AVE S
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City | SAINT PETERSBURG
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State | FL
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Zip | 33701-5713
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Country | US
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Telephone | 727-709-1041
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Fax | 727-821-6010
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Provider Business Mailing Address
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Address Line | PO BOX 690
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City | SAINT PETERSBURG
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State | FL
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Zip | 33731-0690
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Country | US
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Telephone | 727-709-1041
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Fax | 727-821-6010
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Authorized Official
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Title or Position | PHYSICAL THERAPIST, PRESIDENT
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Name | KATE WILSON
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Credential | P.T.
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Telephone | 727-709-1041
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT18431
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License Number State | FL
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