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General NPI Number Information
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NPI Number | 1831410943
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Entity Type | Organization
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Legal Business Name | HEARTS AND HANDS THERAPY SERVICES, INC
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Dates
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Enumeration Date | 06/14/2010
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Last Update Date | 03/19/2014
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Provider Practice Location Address
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Address Line | 424 CREEKSTONE RDG
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City | WOODSTOCK
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State | GA
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Zip | 30188-3740
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Country | US
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Telephone | 678-462-1342
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Fax |
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Provider Business Mailing Address
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Address Line | 709 CRESCENT CIR
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City | CANTON
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State | GA
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Zip | 30115-4772
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Country | US
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Telephone | 678-462-1342
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Fax | 678-493-9464
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Authorized Official
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Title or Position | OCCUPATIONAL THERAPIST, DIRECTOR
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Name | AMY UTECHT
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Credential | MS, OTR/L
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Telephone | 678-462-1342
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 003451
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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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 | 3834
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License Number State | GA
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