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General NPI Number Information
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NPI Number | 1609301431
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Entity Type | Organization
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Legal Business Name | SYLVABEL PEDIATRIC THERAPY SERVICES
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Dates
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Enumeration Date | 04/30/2017
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Last Update Date | 04/30/2017
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Provider Practice Location Address
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Address Line | 4 PINE RIDGE CT
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City | GREENSBORO
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State | NC
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Zip | 27406-6504
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Country | US
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Telephone | 336-420-3183
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 10466
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City | GREENSBORO
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State | NC
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Zip | 27404-0466
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OCCUPATIONAL THERAPIST
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Name | CATHY DIANN PATTERSON
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Credential | OT/L
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Telephone | 336-420-3183
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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 |
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License Number State |
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