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General NPI Number Information
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NPI Number | 1578136495
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Entity Type | Organization
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Legal Business Name | KIDS CORNER THERAPY, LLC
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Dates
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Enumeration Date | 07/19/2021
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Last Update Date | 07/19/2021
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Provider Practice Location Address
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Address Line | 7528 BIRDWOOD CT
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City | NEW PORT RICHEY
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State | FL
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Zip | 34653-2102
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Country | US
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Telephone | 727-777-4687
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Fax |
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Provider Business Mailing Address
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Address Line | 7528 BIRDWOOD CT
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City | NEW PORT RICHEY
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State | FL
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Zip | 34653-2102
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Country | US
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Telephone | 304-629-6799
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Fax |
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Authorized Official
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Title or Position | OWNER/OT
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Name | ROBIN LYNN JONES
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Credential | OTR/L
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Telephone | 727-777-4687
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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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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