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General NPI Number Information
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NPI Number | 1477563138
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Entity Type | Organization
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Legal Business Name | LITTLE HANDS LITTLE FEET, LLC
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Dates
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Enumeration Date | 08/08/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4 JACKSON ST NE
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City | FORT WALTON BEACH
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State | FL
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Zip | 32548-4925
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Country | US
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Telephone | 850-862-7227
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Fax | 850-862-2421
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Provider Business Mailing Address
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Address Line | 3924 MESA RD
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City | DESTIN
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State | FL
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Zip | 32541-2061
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Country | US
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Telephone | 850-862-7227
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Fax | 850-862-2421
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Authorized Official
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Title or Position | OWNER/DIRECTOR
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Name | MRS. PAIGE L. SCOPER
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Credential | PT, PCS
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Telephone | 850-862-7227
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | PT17648
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License Number State | FL
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