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General NPI Number Information
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NPI Number | 1285851204
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Entity Type | Organization
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Legal Business Name | EXCEPTIONAL KIDS, LLC
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Dates
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Enumeration Date | 04/19/2007
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Last Update Date | 06/30/2016
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Provider Practice Location Address
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Address Line | 471 S DOWNING ST
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City | DENVER
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State | CO
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Zip | 80209-2415
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Country | US
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Telephone | 303-250-0123
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Fax | 720-570-8302
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Provider Business Mailing Address
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Address Line | 471 S DOWNING ST
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City | DENVER
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State | CO
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Zip | 80209-2415
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Country | US
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Telephone | 303-250-0123
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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 | LYNN TAYLOR
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Credential | OTR
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Telephone | 303-250-0123
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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 | OT.0002155
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License Number State | CO
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