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General NPI Number Information
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NPI Number | 1770779829
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Entity Type | Organization
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Legal Business Name | ALL ABOUT THERAPY, LLC
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Dates
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Enumeration Date | 09/22/2007
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Last Update Date | 09/22/2007
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Provider Practice Location Address
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Address Line | 6601 MEADOW GLEN DR
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City | MIDLOTHIAN
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State | TX
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Zip | 76065-7905
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Country | US
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Telephone | 972-743-7347
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Fax | 972-775-4380
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Provider Business Mailing Address
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Address Line | 6601 MEADOW GLEN DR
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City | MIDLOTHIAN
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State | TX
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Zip | 76065-7905
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Country | US
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Telephone | 972-743-7347
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Fax | 972-775-4380
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Authorized Official
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Title or Position | OWNER/DIRECTOR
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Name | JULIE LYNN HENDERSON
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Credential | OTR
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Telephone | 972-743-7347
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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 | 109776
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License Number State | TX
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