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General NPI Number Information
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NPI Number | 1215252655
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Entity Type | Organization
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Legal Business Name | ABOVE & BEYOND THERAPY SERVICES
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Dates
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Enumeration Date | 03/29/2010
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Last Update Date | 03/29/2010
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Provider Practice Location Address
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Address Line | 21321 E OCOTILLO RD BLDG. H SUITE 119
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City | QUEEN CREEK
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State | AZ
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Zip | 85142-5996
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Country | US
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Telephone | 480-987-1870
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Fax | 480-987-9289
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Provider Business Mailing Address
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Address Line | 21321 E OCOTILLO RD BLDG. H SUITE 119
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City | QUEEN CREEK
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State | AZ
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Zip | 85142-5996
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Country | US
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Telephone | 480-987-1870
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Fax | 480-987-9289
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Authorized Official
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Title or Position | OWNER/O.T.
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Name | SHAWN MAURICE WILLIAMS
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Credential | O.T.
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Telephone | 480-987-1870
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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