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NPI 1457050312

NPI 1457050312 : THE SENSORY GURU, LLC : HANAHAN, SC

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General NPI Number Information
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    NPI Number           |    1457050312
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    Entity Type          |    Organization 
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    Legal Business Name  |    THE SENSORY GURU, LLC 
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Dates
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    Enumeration Date     |    03/01/2023
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    Last Update Date     |    03/01/2023
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Provider Practice Location Address
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    Address Line         |    5806 CAMPBELL ST OFC B 
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    City                 |    HANAHAN
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    State                |    SC
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    Zip                  |    29410-2718
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    Country              |    US
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    Telephone            |    803-339-6770
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    5806 CAMPBELL ST OFC B 
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    City                 |    HANAHAN
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    State                |    SC
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    Zip                  |    29410-2718
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     ERIKA  TRUMP 
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    Credential           |    
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    Telephone            |    757-679-2773
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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       |    
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    License Number State |    
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