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General NPI Number Information
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NPI Number | 1427704873
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Entity Type | Organization
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Legal Business Name | LIMITLESS THERAPY LLC
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Dates
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Enumeration Date | 02/24/2022
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Last Update Date | 02/24/2022
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Provider Practice Location Address
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Address Line | 36 S BLACK HORSE PIKE
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City | BLACKWOOD
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State | NJ
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Zip | 08012-2986
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Country | US
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Telephone | 856-463-0023
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Fax |
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Provider Business Mailing Address
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Address Line | 159 LINDEN AVE
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City | PITMAN
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State | NJ
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Zip | 08071-2109
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Country | US
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Telephone | 856-904-3628
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Fax |
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Authorized Official
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Title or Position | OCCUPATIONAL THERAPIST
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Name | MELISSA BARTON
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Credential | MS, OTR/L
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Telephone | 856-463-0023
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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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