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NPI 1891280921

NPI 1891280921 : JOY THERAPY AND LEARNING CENTER LLC : CUMMING, GA

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General NPI Number Information
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    NPI Number           |    1891280921
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    Entity Type          |    Organization 
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    Legal Business Name  |    JOY THERAPY AND LEARNING CENTER LLC 
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Dates
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    Enumeration Date     |    07/01/2018
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    Last Update Date     |    01/23/2025
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Provider Practice Location Address
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    Address Line         |    1715 FRIENDSHIP CIR STE 300 
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    City                 |    CUMMING
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    State                |    GA
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    Zip                  |    30028-6920
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    Country              |    US
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    Telephone            |    770-240-1063
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    Fax                  |    470-745-6035
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Provider Business Mailing Address
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    Address Line         |    1715 FRIENDSHIP CIR STE 300 
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    City                 |    CUMMING
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    State                |    GA
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    Zip                  |    30028-6920
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    Country              |    US
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    Telephone            |    770-240-1063
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    Fax                  |    470-745-6035
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Authorized Official
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    Title or Position    |    OFFICE MANAGER
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    Name                 |     JAMIE  NEDDERMAN 
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    Credential           |    
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    Telephone            |    770-710-2390
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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    Taxonomy Code        |    225XF0002X
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    Taxonomy Name        |    Feeding, Eating & Swallowing Occupational 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       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    235Z00000X
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    Taxonomy Name        |    Speech-Language Pathologist
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    License Number       |    
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    License Number State |    
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