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General NPI Number Information
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NPI Number | 1255528188
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Entity Type | Organization
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Legal Business Name | THE PLAY CENTER, LLC
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Dates
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Enumeration Date | 09/25/2007
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Last Update Date | 04/03/2009
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Provider Practice Location Address
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Address Line | 5301 N FEDERAL HWY SUITE 135
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City | BOCA RATON
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State | FL
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Zip | 33487-4917
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Country | US
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Telephone | 561-674-0016
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Fax | 561-674-0216
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Provider Business Mailing Address
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Address Line | 2407 NW 30TH ST
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City | BOCA RATON
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State | FL
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Zip | 33431-6210
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Country | US
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Telephone | 561-245-0880
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Fax | 561-674-0216
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Authorized Official
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Title or Position | PRESIDENT
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Name | ANGELA M KALMAN
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Credential | OTR/L
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Telephone | 561-245-0880
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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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