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General NPI Number Information
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NPI Number | 1922140813
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Entity Type | Organization
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Legal Business Name | OCCUPATIONAL THERAPY FOR KIDS, INC.
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Dates
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Enumeration Date | 02/14/2007
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Last Update Date | 04/30/2008
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Provider Practice Location Address
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Address Line | 8837 HOLLOWOOD DR
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City | INDIANAPOLIS
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State | IN
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Zip | 46234-1932
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Country | US
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Telephone | 317-507-3574
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Fax |
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Provider Business Mailing Address
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Address Line | 8837 HOLLOWOOD DR
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City | INDIANAPOLIS
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State | IN
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Zip | 46234-1932
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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 | PRESIDENT
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Name | BABBIE EASTER
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Credential |
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Telephone | 317-507-3574
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State | IN
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