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General NPI Number Information
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NPI Number | 1558019570
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Entity Type | Organization
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Legal Business Name | I CAN THERAPY LLC
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Dates
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Enumeration Date | 03/17/2022
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Last Update Date | 03/17/2022
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Provider Practice Location Address
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Address Line | 7300 NALL AVE
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City | PRAIRIE VILLAGE
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State | KS
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Zip | 66208-2453
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Country | US
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Telephone | 913-832-0234
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 8543
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City | PRAIRIE VILLAGE
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State | KS
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Zip | 66208-0543
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Country | US
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Telephone | 913-335-0428
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | HANNAH EARLEY
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Credential | OTR/L
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Telephone | 913-832-0234
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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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