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General NPI Number Information
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NPI Number | 1689077828
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Entity Type | Organization
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Legal Business Name | SENSE-SATIONAL THERAPY
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Dates
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Enumeration Date | 10/02/2014
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Last Update Date | 10/02/2014
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Provider Practice Location Address
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Address Line | 3041 COMMERCE DR SUITE A
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City | FORT GRATIOT
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State | MI
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Zip | 48059-3877
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Country | US
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Telephone | 810-990-8644
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Fax |
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Provider Business Mailing Address
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Address Line | 3041 COMMERCE DR SUITE A
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City | FORT GRATIOT
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State | MI
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Zip | 48059-3877
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TANYA KEEFE
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Credential |
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Telephone | 810-990-8644
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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 | 5201008951
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License Number State | MI
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