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General NPI Number Information
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NPI Number | 1619567757
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Entity Type | Organization
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Legal Business Name | PLAYGENICS THERAPY SERVICES LLC
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Dates
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Enumeration Date | 01/22/2021
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Last Update Date | 01/25/2021
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Provider Practice Location Address
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Address Line | 5622 MARINE PKWY STE 10
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City | NEW PORT RICHEY
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State | FL
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Zip | 34652-4330
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Country | US
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Telephone | 727-238-9107
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Fax |
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Provider Business Mailing Address
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Address Line | 7208 CLEARWATER DR
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City | SPRING HILL
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State | FL
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Zip | 34606-6319
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Country | US
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Telephone | 727-238-9107
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Fax |
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Authorized Official
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Title or Position | CEO/OWNER
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Name | MRS. WENDY ANN SPIVEY
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Credential |
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Telephone | 727-238-9107
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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 | 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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Taxonomy #3
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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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 | 261QX0100X
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Taxonomy Name | Occupational Medicine Clinic/Center
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License Number |
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License Number State |
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Taxonomy #5
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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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