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General NPI Number Information
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NPI Number | 1811644016
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Entity Type | Organization
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Legal Business Name | E3 POSSIBILITIES, LLC
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Dates
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Enumeration Date | 03/07/2022
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Last Update Date | 01/03/2025
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Provider Practice Location Address
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Address Line | 850 DOGWOOD ROAD STE B 200 #2232
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City | LAWRENCEVILLE
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State | GA
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Zip | 30044
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Country | US
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Telephone | 678-837-5134
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Fax |
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Provider Business Mailing Address
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Address Line | 850 DOGWOOD ROAD STE B200 #2232
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City | LAWRENCEVILLE
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State | GA
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Zip | 30044-7213
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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 | OWNER
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Name | MRS. ADRIENNE RENEE KING
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Credential | MS, OTR/L
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Telephone | 678-837-5134
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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