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General NPI Number Information
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NPI Number | 1376368209
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Entity Type | Organization
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Legal Business Name | WINDING WILLOWS LLC
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Dates
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Enumeration Date | 11/15/2024
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Last Update Date | 11/15/2024
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Provider Practice Location Address
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Address Line | 3368 LYTLE RD
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City | WAYNESVILLE
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State | OH
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Zip | 45068-9640
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Country | US
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Telephone | 937-907-0220
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Fax |
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Provider Business Mailing Address
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Address Line | 3368 LYTLE RD
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City | WAYNESVILLE
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State | OH
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Zip | 45068-9640
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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 | OWNER, OCCUPATIONAL THERAPIST
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Name | CLAIRE CAMPBELL
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Credential |
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Telephone | 937-907-0220
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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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