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General NPI Number Information
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NPI Number | 1548854383
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Entity Type | Organization
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Legal Business Name | SENIOR THERAPY SOLUTIONS, LLC
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Dates
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Enumeration Date | 02/23/2021
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Last Update Date | 02/23/2021
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Provider Practice Location Address
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Address Line | 461 NEWNAN LAKES BLVD STE B
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City | NEWNAN
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State | GA
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Zip | 30263-6486
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Country | US
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Telephone | 460-686-3202
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Fax | 850-391-4114
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Provider Business Mailing Address
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Address Line | PO BOX 168
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City | CRYSTAL SPRINGS
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State | MS
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Zip | 39059-0168
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Country | US
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Telephone | 470-686-3202
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Fax | 850-391-4114
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Authorized Official
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Title or Position | OWNER
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Name | SUZANNE SUTTERFIELD WALTERS
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Credential |
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Telephone | 850-588-9641
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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 |
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License Number State |
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