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General NPI Number Information
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NPI Number | 1942900790
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Entity Type | Organization
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Legal Business Name | EXCEL TO ACHIEVE OT
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Dates
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Enumeration Date | 03/08/2023
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Last Update Date | 03/08/2023
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Provider Practice Location Address
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Address Line | 3213 MONTROSE CIR
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City | PALM HARBOR
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State | FL
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Zip | 34684-1828
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Country | US
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Telephone | 276-608-8807
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Fax |
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Provider Business Mailing Address
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Address Line | 3213 MONTROSE CIR
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City | PALM HARBOR
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State | FL
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Zip | 34684-1828
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Country | US
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Telephone | 276-608-8807
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Fax |
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Authorized Official
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Title or Position | OCCUPATIONAL THERAPIST
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Name | SAVANNAH COFFEY
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Credential |
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Telephone | 276-608-8075
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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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