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General NPI Number Information
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NPI Number | 1811534316
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Entity Type | Organization
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Legal Business Name | MEANINGFUL LIVING THERAPY SERVICES LLC
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Dates
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Enumeration Date | 12/03/2019
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Last Update Date | 12/03/2019
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Provider Practice Location Address
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Address Line | 20280 N 59TH AVE STE 115533
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City | GLENDALE
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State | AZ
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Zip | 85308-6850
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Country | US
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Telephone | 623-210-8093
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Fax |
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Provider Business Mailing Address
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Address Line | 20280 N 59TH AVE STE 115533
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City | GLENDALE
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State | AZ
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Zip | 85308-6850
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Country | US
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Telephone | 623-210-8093
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Fax |
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Authorized Official
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Title or Position | SOLE MEMBER
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Name | TAMARA L TURNER
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Credential | OT
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Telephone | 623-210-8093
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225XN1300X
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Taxonomy Name | Neurorehabilitation Occupational Therapist
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License Number |
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License Number State |
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