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General NPI Number Information
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NPI Number | 1760076806
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Entity Type | Organization
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Legal Business Name | PLAY WITH PURPOSE LLC
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Dates
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Enumeration Date | 03/01/2021
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Last Update Date | 03/01/2021
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Provider Practice Location Address
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Address Line | 20 POINTE NORTH DR STE 109
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City | CARTERSVILLE
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State | GA
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Zip | 30120-7955
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Country | US
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Telephone | 770-608-8525
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Fax | 470-588-8934
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Provider Business Mailing Address
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Address Line | 10 MAPLE GROVE DR
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City | ADAIRSVILLE
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State | GA
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Zip | 30103-3061
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Country | US
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Telephone | 770-608-8525
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Fax |
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Authorized Official
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Title or Position | CEO/OTR/L
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Name | MELANIE SILVERS
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Credential |
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Telephone | 770-608-8525
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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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 | 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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