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General NPI Number Information
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NPI Number | 1396168639
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Entity Type | Organization
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Legal Business Name | TRANSITIONS IN MOTION, LLC
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Dates
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Enumeration Date | 01/22/2014
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Last Update Date | 01/22/2014
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Provider Practice Location Address
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Address Line | 162 SHEA AVE
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City | BELCHERTOWN
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State | MA
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Zip | 01007-9329
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Country | US
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Telephone | 802-272-2013
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 945
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City | BELCHERTOWN
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State | MA
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Zip | 01007-0945
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Country | US
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Telephone | 802-272-2013
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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 | MS. LEORA ANN BARRY
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Credential | OTR/L, LMT
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Telephone | 802-272-2013
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number | 10413
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License Number State | MA
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