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General NPI Number Information
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NPI Number | 1265998157
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Entity Type | Organization
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Legal Business Name | HANDPRINTS, LLC
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Dates
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Enumeration Date | 02/15/2019
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Last Update Date | 02/15/2019
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Provider Practice Location Address
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Address Line | 557 FIRST ST
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City | FLORA
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State | MS
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Zip | 39071-9339
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Country | US
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Telephone | 601-672-8816
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Fax |
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Provider Business Mailing Address
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Address Line | 557 FIRST ST
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City | FLORA
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State | MS
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Zip | 39071-9339
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Country | US
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Telephone | 601-672-8816
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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 FOSTER
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Credential | OTR/L
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Telephone | 601-672-8816
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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