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General NPI Number Information
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NPI Number | 1659800266
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Entity Type | Organization
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Legal Business Name | DEVELOPING ABILITIES CHILDREN'S THERAPY SERVICES
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Dates
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Enumeration Date | 06/07/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 105 GALSWORTHY DR
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City | GOOSE CREEK
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State | SC
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Zip | 29445-7025
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Country | US
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Telephone | 843-345-6402
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Fax | 843-569-0550
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Provider Business Mailing Address
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Address Line | 105 GALSWORTHY DR
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City | GOOSE CREEK
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State | SC
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Zip | 29445-7025
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Country | US
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Telephone | 843-345-6402
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Fax | 843-569-0550
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Authorized Official
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Title or Position | OCCUPATIONAL THERAPIST/OWNER
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Name | MS. MONICA KEEN
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Credential | MS, OTR/L
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Telephone | 843-345-6402
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 518
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License Number State | SC
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