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General NPI Number Information
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NPI Number | 1588480347
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Entity Type | Organization
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Legal Business Name | SAMMY FLYNN THERAPY SOLUTIONS INC
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Dates
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Enumeration Date | 11/26/2024
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Last Update Date | 11/26/2024
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Provider Practice Location Address
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Address Line | 18490 N 1400TH ST
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City | EFFINGHAM
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State | IL
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Zip | 62401-7016
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Country | US
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Telephone | 217-663-3542
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Fax | 833-466-1821
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Provider Business Mailing Address
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Address Line | 18490 N 1400TH ST
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City | EFFINGHAM
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State | IL
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Zip | 62401-7016
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Country | US
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Telephone | 217-663-3542
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Fax | 833-466-1821
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Authorized Official
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Title or Position | OCCUPATIONAL THERAPIST
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Name | SAMANTHA JO FLYNN
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Credential | OTR
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Telephone | 217-663-3542
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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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