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General NPI Number Information
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NPI Number | 1568555803
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Entity Type | Organization
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Legal Business Name | SOUTHEASTERN ASSISTIVE TECHNOLOGY SOLUTIONS, LLC
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Dates
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Enumeration Date | 10/01/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 521 PELAHATCHIE SHORE DR
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City | BRANDON
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State | MS
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Zip | 39047-6282
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Country | US
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Telephone | 601-613-7328
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Fax |
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Provider Business Mailing Address
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Address Line | 521 PELAHATCHIE SHORE DR
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City | BRANDON
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State | MS
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Zip | 39047-6282
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Country | US
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Telephone | 601-613-7328
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. KITTY J STOGNER
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Credential | PT, ATP
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Telephone | 601-613-7328
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT3204
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License Number State | MS
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PTH4728
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License Number State | AL
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT06987R
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License Number State | LA
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Taxonomy #4
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OT0488
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License Number State | MS
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Taxonomy #5
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT7497
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License Number State | TN
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