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General NPI Number Information
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NPI Number | 1336477074
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Entity Type | Organization
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Legal Business Name | GENERATIONS THERAPY, INC.
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Dates
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Enumeration Date | 11/18/2009
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Last Update Date | 11/18/2009
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Provider Practice Location Address
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Address Line | 4655 N UNIVERSITY DR
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City | CORAL SPRINGS
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State | FL
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Zip | 33067-4620
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Country | US
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Telephone | 954-255-5437
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Fax | 954-255-5431
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Provider Business Mailing Address
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Address Line | 6192 NW 88TH AVE
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City | PARKLAND
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State | FL
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Zip | 33067-3740
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Country | US
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Telephone | 954-255-5437
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Fax | 954-255-5431
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. COREY EMERT
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Credential | OTR/L
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Telephone | 954-255-5437
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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 4694
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License Number State | FL
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