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General NPI Number Information
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NPI Number | 1457227456
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Entity Type | Organization
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Legal Business Name | ACHIEVE PEDIATRIC THERAPY, INC
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Dates
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Enumeration Date | 10/15/2025
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Last Update Date | 10/15/2025
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Provider Practice Location Address
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Address Line | 11602 LAKE UNDERHILL RD STE 129
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City | ORLANDO
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State | FL
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Zip | 32825-4460
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Country | US
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Telephone | 407-277-5400
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Fax | 321-281-4942
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Provider Business Mailing Address
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Address Line | 11602 LAKE UNDERHILL RD STE 129
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City | ORLANDO
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State | FL
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Zip | 32825-4460
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Country | US
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Telephone | 407-277-5400
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Fax | 321-281-4942
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Authorized Official
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Title or Position | OWNER
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Name | HEATHER BLISS GRAY
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Credential | M.S, OTR/L
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Telephone | 407-277-5400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225A00000X
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Taxonomy Name | Music Therapist
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License Number |
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License Number State |
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