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General NPI Number Information
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NPI Number | 1255162947
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Entity Type | Organization
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Legal Business Name | RAISING ARROWS THERAPY, LLC
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Dates
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Enumeration Date | 08/13/2024
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Last Update Date | 08/13/2024
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Provider Practice Location Address
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Address Line | 1450 DANIELS RD
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City | WINTER GARDEN
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State | FL
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Zip | 34787-4376
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Country | US
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Telephone | 407-395-9976
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Fax |
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Provider Business Mailing Address
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Address Line | 1855 PARTIN TERRACE RD
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City | KINDRED
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State | FL
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Zip | 34744-6062
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Country | US
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Telephone | 386-337-4016
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ANA MARIE JANUARY
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Credential |
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Telephone | 321-754-0686
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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 |
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License Number State |
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Taxonomy #2
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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 #3
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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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Taxonomy #4
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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