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General NPI Number Information
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NPI Number | 1275232811
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Entity Type | Organization
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Legal Business Name | T.E.A.M. FOR KIDS, LLC
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Dates
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Enumeration Date | 03/02/2023
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Last Update Date | 10/01/2024
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Provider Practice Location Address
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Address Line | 320 SNOW ST STE A
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City | OXFORD
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State | AL
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Zip | 36203-5402
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Country | US
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Telephone | 256-770-5009
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Fax | 844-592-2568
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Provider Business Mailing Address
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Address Line | 320 SNOW ST STE A
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City | OXFORD
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State | AL
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Zip | 36203-5402
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Country | US
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Telephone | 256-770-5009
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Fax | 844-592-2568
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Authorized Official
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Title or Position | PRESIDENT
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Name | AUTUMN MICHELLE BOBO
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Credential | OTR/L
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Telephone | 256-310-8053
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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Taxonomy Code | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number |
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License Number State |
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