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General NPI Number Information
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NPI Number | 1215211883
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Entity Type | Organization
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Legal Business Name | PROFESSIONAL THERAPY PROVIDERS, INC
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Dates
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Enumeration Date | 09/30/2011
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Last Update Date | 04/09/2016
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Provider Practice Location Address
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Address Line | 1 BALTIMORE PL NW SUITE 360
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City | ATLANTA
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State | GA
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Zip | 30308-2116
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Country | US
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Telephone | 404-815-9393
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Fax | 404-815-9991
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Provider Business Mailing Address
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Address Line | 1 BALTIMORE PL NW SUITE 360
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City | ATLANTA
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State | GA
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Zip | 30308-2116
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Country | US
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Telephone | 404-815-9393
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Fax | 404-815-9991
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Authorized Official
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Title or Position | OWNER
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Name | CHIQUITA SMITH
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Credential |
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Telephone | 404-867-1682
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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