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General NPI Number Information
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NPI Number | 1437626801
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Entity Type | Organization
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Legal Business Name | TONNS OF FUN THERAPY LLC
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Dates
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Enumeration Date | 10/24/2018
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Last Update Date | 10/24/2018
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Provider Practice Location Address
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Address Line | 3525 105TH ST SW
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City | STEWARTVILLE
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State | MN
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Zip | 55976-8161
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Country | US
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Telephone | 507-252-1988
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Fax |
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Provider Business Mailing Address
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Address Line | 3525 105TH ST SW
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City | STEWARTVILLE
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State | MN
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Zip | 55976-8161
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Country | US
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Telephone | 507-252-1988
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Fax |
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Authorized Official
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Title or Position | OCCUPATIONAL THERAPIST/OWNER
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Name | MRS. MICHELE L TONN
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Credential | OTR/L
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Telephone | 507-252-1988
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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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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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