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General NPI Number Information
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NPI Number | 1366821720
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Entity Type | Organization
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Legal Business Name | MARIE J PERRY KIDS THERAPY SOLUTIONS
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Dates
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Enumeration Date | 05/19/2015
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Last Update Date | 06/18/2021
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Provider Practice Location Address
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Address Line | 9186 PINION DR
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City | LAKE WORTH
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State | FL
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Zip | 33467-1066
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Country | US
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Telephone | 561-603-3911
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Fax | 877-947-3677
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Provider Business Mailing Address
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Address Line | 9186 PINION DR
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City | LAKE WORTH
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State | FL
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Zip | 33467-1066
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Country | US
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Telephone | 561-603-3911
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Fax | 877-947-3677
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Authorized Official
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Title or Position | OWNER
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Name | MS. MARIE J PERRY
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Credential |
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Telephone | 561-603-3911
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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 | OT11961
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License Number State | FL
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