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General NPI Number Information
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NPI Number | 1285393868
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Entity Type | Organization
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Legal Business Name | NEUROABILITY THERAPY, PLLC
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Dates
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Enumeration Date | 12/10/2021
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Last Update Date | 03/24/2025
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Provider Practice Location Address
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Address Line | 3400 GULF TO BAY BLVD
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City | CLEARWATER
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State | FL
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Zip | 33759-4514
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Country | US
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Telephone | 281-903-4104
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Fax |
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Provider Business Mailing Address
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Address Line | 5251-C HWY 153 #193
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City | HIXSON
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State | TN
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Zip | 37343
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Country | US
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Telephone | 423-218-2078
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TAYLOR KOZELL
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Credential | OTD, OTR/L
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Telephone | 281-903-4104
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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 |
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License Number State |
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