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General NPI Number Information
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NPI Number | 1245142926
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Entity Type | Organization
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Legal Business Name | HARBOR KIDS THERAPY LLC
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Dates
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Enumeration Date | 09/18/2026
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Last Update Date | 09/18/2026
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Provider Practice Location Address
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Address Line | 301 RIVERPOINT DR
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City | WEDOWEE
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State | AL
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Zip | 36278-7276
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Country | US
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Telephone | 256-914-9696
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Fax |
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Provider Business Mailing Address
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Address Line | 301 RIVERPOINT DR
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City | WEDOWEE
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State | AL
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Zip | 36278-7276
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Country | US
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Telephone | 256-914-9696
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Fax |
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Authorized Official
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Title or Position | OCCUPATIONAL THERAPIST
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Name | JEFFREY MILLER
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Credential | OTR/L
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Telephone | 256-914-9696
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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 |
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License Number State |
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