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General NPI Number Information
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NPI Number | 1740100916
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Entity Type | Organization
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Legal Business Name | LUPINE PEDIATRIC THERAPY LLC
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Dates
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Enumeration Date | 07/17/2026
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Last Update Date | 07/17/2026
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Provider Practice Location Address
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Address Line | 1599 BORA WAY
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City | BOZEMAN
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State | MT
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Zip | 59718-3411
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Country | US
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Telephone | 309-558-5327
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Fax |
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Provider Business Mailing Address
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Address Line | 1599 BORA WAY
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City | BOZEMAN
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State | MT
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Zip | 59718-3411
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Country | US
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Telephone | 309-558-5327
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Fax |
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Authorized Official
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Title or Position | OCCUPATIONAL THERAPIST
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Name | DR. HALEY RENEE HARRINGTON
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Credential | OTD, OTR/L, CHT
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Telephone | 309-558-5327
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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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