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General NPI Number Information
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NPI Number | 1619576170
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Entity Type | Organization
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Legal Business Name | B. PLEASANT THERAPIES, LLC
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Dates
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Enumeration Date | 10/25/2020
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Last Update Date | 02/01/2024
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Provider Practice Location Address
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Address Line | 345 PARKWOOD WAY
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City | JONESBORO
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State | GA
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Zip | 30236-1321
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Country | US
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Telephone | 470-896-4125
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Fax |
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Provider Business Mailing Address
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Address Line | 345 PARKWOOD WAY
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City | JONESBORO
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State | GA
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Zip | 30236-1321
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Country | US
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Telephone | 470-896-4125
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Fax |
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Authorized Official
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Title or Position | OWNER/CEO
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Name | MRS. SAMANTHA BRIANNA PLEASANT WASHINGTON
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Credential | OTR/L
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Telephone | 770-407-9034
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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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