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General NPI Number Information
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NPI Number | 1265864805
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Entity Type | Organization
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Legal Business Name | ALL KIDS THERAPY SERVICES, INC.
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Dates
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Enumeration Date | 08/06/2013
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Last Update Date | 08/06/2013
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Provider Practice Location Address
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Address Line | 3407 CLOVER BLOSSOM CIR
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City | LAND O LAKES
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State | FL
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Zip | 34638-7994
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Country | US
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Telephone | 813-245-3098
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Fax | 813-926-5607
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Provider Business Mailing Address
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Address Line | 3407 CLOVER BLOSSOM CIR
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City | LAND O LAKES
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State | FL
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Zip | 34638-7994
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Country | US
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Telephone | 813-245-3098
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Fax | 813-926-5607
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | MS. SANDRA MARIE BECK
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Credential | OTR/L
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Telephone | 813-245-3098
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | OT8721
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License Number State | FL
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