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General NPI Number Information
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NPI Number | 1740976489
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Entity Type | Organization
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Legal Business Name | INTEGRATE FAMILY OCCUPATIONAL THERAPY
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Dates
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Enumeration Date | 04/14/2023
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Last Update Date | 04/14/2023
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Provider Practice Location Address
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Address Line | 6777 HAPPY VALLEY RD
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City | KUNA
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State | ID
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Zip | 83634-1565
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Country | US
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Telephone | 208-244-0066
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Fax |
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Provider Business Mailing Address
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Address Line | 6777 HAPPY VALLEY RD
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City | KUNA
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State | ID
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Zip | 83634-1565
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Country | US
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Telephone | 208-244-0066
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Fax |
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Authorized Official
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Title or Position | OWNER/OCCUPATIONAL THERAPIST
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Name | CANDICE CURTIS
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Credential | OTR/L, CAS
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Telephone | 208-244-0066
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number |
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License Number State |
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