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General NPI Number Information
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NPI Number | 1255604112
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Entity Type | Organization
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Legal Business Name | EVERYTHING KIDS PEDIATRIC THERAPY ASSOCIATES
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Dates
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Enumeration Date | 02/22/2012
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Last Update Date | 02/25/2014
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Provider Practice Location Address
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Address Line | 776 JOYCE LN
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City | INCLINE VILLAGE
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State | NV
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Zip | 89451-9609
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Country | US
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Telephone | 970-471-2816
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Fax | 877-524-4110
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Provider Business Mailing Address
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Address Line | 776 JOYCE LN
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City | INCLINE VILLAGE
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State | NV
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Zip | 89451-9609
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Country | US
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Telephone | 970-471-2816
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Fax | 877-524-4110
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Authorized Official
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Title or Position | TREASURER
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Name | ELISABETH BROWN
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Credential | P.T.
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Telephone | 970-471-2816
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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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Taxonomy #2
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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 #3
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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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