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General NPI Number Information
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NPI Number | 1346430329
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Entity Type | Organization
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Legal Business Name | AUGUSTA THERAPY SERVICES FOR CHILDREN
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Dates
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Enumeration Date | 07/26/2007
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Last Update Date | 06/14/2009
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Provider Practice Location Address
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Address Line | 707 STANTON DR
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City | NORTH AUGUSTA
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State | SC
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Zip | 29841-3264
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Country | US
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Telephone | 706-294-3773
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Fax | 803-202-0334
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Provider Business Mailing Address
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Address Line | PO BOX 12094
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City | AUGUSTA
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State | GA
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Zip | 30914-2094
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Country | US
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Telephone | 706-589-3773
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Fax | 803-202-0334
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Authorized Official
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Title or Position | PRESIDENT/DIRECTOR
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Name | EMILY D. ANDERSON I
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Credential | MHE,OTR/L
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Telephone | 706-294-3773
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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Taxonomy #2
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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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