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General NPI Number Information
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NPI Number | 1619398385
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Entity Type | Organization
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Legal Business Name | ACHIEVEABILITY THERAPY SERVICES
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Dates
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Enumeration Date | 12/26/2013
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Last Update Date | 03/17/2023
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Provider Practice Location Address
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Address Line | 18288 N US HWY 41
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City | LUTZ
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State | FL
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Zip | 33549
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Country | US
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Telephone | 813-527-9638
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Fax | 813-867-7288
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Provider Business Mailing Address
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Address Line | 18288 N. US HIGHWAY 41
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City | LUTZ
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State | FL
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Zip | 33549
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Country | US
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Telephone | 813-527-9638
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Fax | 813-867-7288
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Authorized Official
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Title or Position | OWNER
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Name | KIMBERLY FAYE HULL
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Credential | MS, CCC/SLP, BCBA
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Telephone | 813-527-9638
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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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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Taxonomy #3
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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