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General NPI Number Information
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NPI Number | 1760548127
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Entity Type | Organization
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Legal Business Name | STINSON REHABILITATION SERVICES
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Dates
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Enumeration Date | 12/29/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4376 BELLWOOD CIR
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City | ATLANTA
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State | GA
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Zip | 30349-7003
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Country | US
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Telephone | 440-664-7200
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Fax |
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Provider Business Mailing Address
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Address Line | 4376 BELLWOOD CIR
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City | ATLANTA
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State | GA
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Zip | 30349-7003
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Country | US
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Telephone |
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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 | MRS. SHEKIAH FLOWERS STINSON
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Credential | OTR
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Telephone | 404-664-7200
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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 | 002290
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License Number State | GA
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