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General NPI Number Information
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NPI Number | 1730832643
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Entity Type | Organization
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Legal Business Name | WELL PLAYED PEDIATRIC THERAPY LLC
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Dates
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Enumeration Date | 01/31/2022
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Last Update Date | 02/22/2022
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Provider Practice Location Address
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Address Line | 13119 MEADOWMERE RD
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City | HUNTERSVILLE
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State | NC
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Zip | 28078-2246
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Country | US
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Telephone | 724-261-1713
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Fax |
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Provider Business Mailing Address
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Address Line | 13119 MEADOWMERE RD
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City | HUNTERSVILLE
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State | NC
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Zip | 28078-2246
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Country | US
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Telephone | 724-261-1713
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Fax |
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Authorized Official
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Title or Position | OWNER MANAGER
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Name | SYDNEY BLANKENSHIP
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Credential | DPT
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Telephone | 724-261-1713
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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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 | 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 #3
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Taxonomy Code | 2251P0200X
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Taxonomy Name | Pediatric Physical Therapist
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License Number |
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License Number State |
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