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General NPI Number Information
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NPI Number | 1750476875
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Entity Type | Organization
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Legal Business Name | HAPPY HOOVES, INC.
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Dates
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Enumeration Date | 10/04/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4700 DACUSVILLE HIGHWAY
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City | MARIETTA
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State | SC
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Zip | 29661
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Country | US
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Telephone | 864-898-0043
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Fax |
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Provider Business Mailing Address
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Address Line | 4700 DACUSVILLE HIGHWAY
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City | MARIETTA
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State | SC
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Zip | 29661
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Country | US
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Telephone | 864-898-0043
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. AMY S GOUDELOCK
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Credential |
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Telephone | 864-898-0043
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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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