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General NPI Number Information
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NPI Number | 1578831988
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Entity Type | Organization
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Legal Business Name | E-MOTION THERAPY SERVICES
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Dates
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Enumeration Date | 12/13/2011
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Last Update Date | 12/13/2011
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Provider Practice Location Address
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Address Line | 7331 E OSBORN DR SUITE 330
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City | SCOTTSDALE
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State | AZ
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Zip | 85251-6435
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Country | US
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Telephone | 480-442-8060
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Fax | 480-306-7780
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Provider Business Mailing Address
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Address Line | 3801 E PARK AVE
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City | PHOENIX
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State | AZ
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Zip | 85044-8255
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Country | US
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Telephone | 520-401-1081
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Fax | 480-306-7780
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Authorized Official
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Title or Position | OWNER/OCCUPATIONAL THERAPIST
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Name | MS. PHAEDRA ANTIOCO
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Credential | OTR/L
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Telephone | 480-442-8060
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number | 2668
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License Number State | AZ
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