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General NPI Number Information
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NPI Number | 1538695838
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Entity Type | Organization
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Legal Business Name | FINGER TIPS, INC.
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Dates
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Enumeration Date | 05/05/2017
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Last Update Date | 05/05/2017
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Provider Practice Location Address
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Address Line | 2474 REGENCY LAKE DR
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City | MARIETTA
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State | GA
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Zip | 30062-8408
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Country | US
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Telephone | 770-977-3251
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Fax |
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Provider Business Mailing Address
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Address Line | 2474 REGENCY LAKE DR
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City | MARIETTA
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State | GA
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Zip | 30062-8408
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. PEGGY MARBACH
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Credential | OTD, OTR/L
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Telephone | 770-977-3251
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225XN1300X
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Taxonomy Name | Neurorehabilitation Occupational Therapist
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License Number | 000406
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 225XP0019X
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Taxonomy Name | Physical Rehabilitation Occupational Therapist
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License Number | 000406
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License Number State | GA
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