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General NPI Number Information
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NPI Number | 1285940981
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Entity Type | Organization
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Legal Business Name | SENSATIONAL KIDS THERAPY LLC
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Dates
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Enumeration Date | 08/19/2010
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Last Update Date | 01/20/2011
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Provider Practice Location Address
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Address Line | 6060 MERGER DR
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City | HOLLAND
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State | OH
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Zip | 43528-8437
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Country | US
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Telephone | 419-724-5434
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Fax | 429-724-5435
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Provider Business Mailing Address
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Address Line | 6060 MERGER DRIVE
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City | HOLLAND
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State | OH
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Zip | 43528
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Country | US
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Telephone | 419-724-5434
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Fax | 429-724-5435
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Authorized Official
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Title or Position | OWNER
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Name | MS. HEATHER EBERLY
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Credential |
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Telephone | 419-724-5454
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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 | 2848
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 7550
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License Number State | OH
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