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General NPI Number Information
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NPI Number | 1538568951
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Entity Type | Organization
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Legal Business Name | AUTISM IN MOTION INC
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Dates
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Enumeration Date | 08/21/2014
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Last Update Date | 08/21/2014
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Provider Practice Location Address
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Address Line | 236 SW 32ND TER
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City | CAPE CORAL
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State | FL
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Zip | 33914-5024
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Country | US
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Telephone | 239-300-7107
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Fax |
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Provider Business Mailing Address
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Address Line | 236 SW 32ND TER
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City | CAPE CORAL
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State | FL
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Zip | 33914-5024
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Country | US
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Telephone | 239-300-7107
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Fax |
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Authorized Official
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Title or Position | CO-OWNER/SLP
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Name | CONNIE RINEHART
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Credential |
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Telephone | 239-300-7107
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OT13181
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SA12405
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License Number State | FL
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