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General NPI Number Information
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NPI Number | 1730843566
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Entity Type | Organization
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Legal Business Name | START WITH ONE OCCUPATIONAL THERAPY SERVICES, LLC
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Dates
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Enumeration Date | 10/27/2021
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Last Update Date | 10/27/2021
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Provider Practice Location Address
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Address Line | 2500 COLBY RD
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City | WINCHESTER
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State | KY
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Zip | 40391-8271
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Country | US
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Telephone | 859-806-6182
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Fax |
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Provider Business Mailing Address
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Address Line | 2828 HICKS PIKE
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City | CYNTHIANA
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State | KY
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Zip | 41031-5730
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Country | US
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Telephone | 859-806-6182
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Fax |
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Authorized Official
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Title or Position | OWNER/OTR/L
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Name | TRACEY FRY
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Credential | OTR/L
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Telephone | 859-806-6182
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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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