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General NPI Number Information
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NPI Number | 1669335063
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Entity Type | Organization
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Legal Business Name | HEARTS & HANDS PEDIATRIC OT, LLC
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Dates
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Enumeration Date | 12/03/2025
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 3341 SW 18TH ST
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City | FORT LAUDERDALE
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State | FL
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Zip | 33312-3644
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Country | US
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Telephone | 954-504-0084
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Fax |
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Provider Business Mailing Address
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Address Line | 3341 SW 18TH ST
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City | FORT LAUDERDALE
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State | FL
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Zip | 33312-3644
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Country | US
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Telephone | 954-504-0084
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SHANNA CHAPLES
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Credential | OT
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Telephone | 954-504-0084
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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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