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General NPI Number Information
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NPI Number | 1235295445
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Entity Type | Organization
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Legal Business Name | THERAPY PLUS
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Dates
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Enumeration Date | 12/29/2006
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Last Update Date | 08/21/2008
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Provider Practice Location Address
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Address Line | 3207 MESENA LN
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City | AUGUSTA
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State | GA
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Zip | 30909-9658
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Country | US
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Telephone | 706-868-0204
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Fax | 706-868-0208
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Provider Business Mailing Address
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Address Line | 3207 MESENA LN
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City | AUGUSTA
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State | GA
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Zip | 30909-9658
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Country | US
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Telephone | 706-868-0204
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Fax | 706-868-0208
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Authorized Official
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Title or Position | PROPRIETOR
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Name | MRS. SHERIA ANN HARDEE
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Credential | OTR
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Telephone | 706-868-0204
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | OT000299
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License Number State | GA
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