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General NPI Number Information
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NPI Number | 1376412254
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Entity Type | Organization
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Legal Business Name | ANNIE'S PEDIATRIC OCCUPATIONAL THERAPY GROUP, LLC
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Dates
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Enumeration Date | 10/30/2025
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Last Update Date | 10/30/2025
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Provider Practice Location Address
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Address Line | 1500 CHESNUT STREET SUITE 2 #1353
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City | PHILADELPHIA
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State | PA
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Zip | 19102
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Country | US
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Telephone | 520-990-0018
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Fax |
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Provider Business Mailing Address
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Address Line | 1500 CHESNUT STREET SUITE 2 #1353
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City | PHILADELPHIA
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State | PA
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Zip | 19102
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Country | US
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Telephone | 520-990-0018
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Fax |
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Authorized Official
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Title or Position | OWNER, O.T.
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Name | ANNE E MISCIA
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Credential | MS OTR/L
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Telephone | 520-990-0018
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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 |
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License Number State |
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