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General NPI Number Information
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NPI Number | 1891104758
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Entity Type | Organization
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Legal Business Name | PEDIATRIC THERAPY SOLUTIONS
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Dates
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Enumeration Date | 08/05/2014
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Last Update Date | 08/05/2014
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Provider Practice Location Address
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Address Line | 171 HIGH ST STE 11
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City | BELFAST
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State | ME
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Zip | 04915-6571
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Country | US
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Telephone | 207-218-1110
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Fax |
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Provider Business Mailing Address
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Address Line | 171 HIGH ST STE 11
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City | BELFAST
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State | ME
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Zip | 04915-6571
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Country | US
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Telephone | 207-218-1110
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KAREN LYNN BETTS
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Credential | OTR
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Telephone | 207-218-1110
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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 | OT2191
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License Number State | ME
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