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General NPI Number Information
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NPI Number | 1538472519
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Entity Type | Organization
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Legal Business Name | SEEK CHILDLIFE
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Dates
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Enumeration Date | 07/20/2010
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Last Update Date | 07/20/2010
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Provider Practice Location Address
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Address Line | 7323 BLACK WALNUT WAY
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City | LAKEWOOD RANCH
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State | FL
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Zip | 34202-6401
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Country | US
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Telephone | 941-284-4734
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Fax |
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Provider Business Mailing Address
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Address Line | 7323 BLACK WALNUT WAY
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City | LAKEWOOD RANCH
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State | FL
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Zip | 34202-6401
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Country | US
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Telephone | 941-284-4734
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Fax |
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Authorized Official
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Title or Position | CHILD LIFE SPECIALIST
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Name | TANYA PRETE
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Credential | MA, CCLS
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Telephone | 941-284-4734
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225800000X
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Taxonomy Name | Recreation Therapist
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License Number |
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License Number State |
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