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General NPI Number Information
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NPI Number | 1306562095
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Entity Type | Organization
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Legal Business Name | GREATER GOOD THERAPY COMPANY
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Dates
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Enumeration Date | 10/14/2022
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Last Update Date | 01/09/2025
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Provider Practice Location Address
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Address Line | 1111 EDGEFIELD ST
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City | GREENWOOD
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State | SC
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Zip | 29646-3849
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Country | US
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Telephone | 843-226-0771
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Fax |
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Provider Business Mailing Address
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Address Line | 720 MONTAGUE AVE STE 119
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City | GREENWOOD
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State | SC
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Zip | 29649-1439
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Country | US
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Telephone | 864-828-0102
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Fax | 864-725-1609
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Authorized Official
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Title or Position | CO-OWNER
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Name | KENNYATTA GILCHRIST FORD
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Credential |
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Telephone | 864-828-0102
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #3
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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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Taxonomy #4
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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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