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General NPI Number Information
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NPI Number | 1396295663
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Entity Type | Organization
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Legal Business Name | ALM THERAPY, LLC
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Dates
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Enumeration Date | 10/10/2016
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Last Update Date | 10/10/2016
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Provider Practice Location Address
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Address Line | 5255 OFFICE PARK BLVD STE 107
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City | BRADENTON
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State | FL
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Zip | 34203-3443
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Country | US
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Telephone | 941-301-7332
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Fax | 941-358-7950
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Provider Business Mailing Address
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Address Line | 6016 ANVIL AVE
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City | SARASOTA
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State | FL
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Zip | 34243-5334
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Country | US
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Telephone | 941-301-7332
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Fax | 941-358-7950
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Authorized Official
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Title or Position | OWNER/MANAGER
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Name | ALISA MCCARTHY
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Credential | OTR/L
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Telephone | 941-301-7332
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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 | OT1094
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License Number State | FL
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