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General NPI Number Information
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NPI Number | 1356756738
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Entity Type | Organization
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Legal Business Name | LIFE OCCUPATIONAL THERAPY SERVICES, PLLC
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Dates
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Enumeration Date | 06/24/2014
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Last Update Date | 06/24/2014
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Provider Practice Location Address
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Address Line | 621 N 9TH ST
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City | NASHVILLE
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State | TN
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Zip | 37206-3905
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Country | US
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Telephone | 843-860-0541
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Fax |
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Provider Business Mailing Address
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Address Line | 621 N 9TH ST
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City | NASHVILLE
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State | TN
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Zip | 37206-3905
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Country | US
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Telephone |
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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 | MRS. MARNIQUE RILEY STRICKLAND
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Credential | OTR/L
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Telephone | 843-860-0541
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 3706
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number | 3706
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License Number State | TN
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