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General NPI Number Information
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NPI Number | 1487988994
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Entity Type | Organization
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Legal Business Name | KIDS ONN THE GO INC
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Dates
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Enumeration Date | 09/30/2009
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Last Update Date | 09/30/2009
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Provider Practice Location Address
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Address Line | 104 BRYDON CT
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City | SIMPSONVILLE
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State | SC
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Zip | 29680-6866
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Country | US
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Telephone | 864-608-5437
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Fax | 864-967-9615
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Provider Business Mailing Address
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Address Line | 104 BRYDON CT
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City | SIMPSONVILLE
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State | SC
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Zip | 29680-6866
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Country | US
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Telephone | 864-608-5437
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Fax | 864-967-9615
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. BARBARA J HILL
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Credential | MHA, OTR/L
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Telephone | 864-608-5437
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number | 1762
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License Number State | SC
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