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General NPI Number Information
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NPI Number | 1972373207
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Entity Type | Organization
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Legal Business Name | LOVELIVEPLAY LLC
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Dates
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Enumeration Date | 01/08/2024
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Last Update Date | 01/08/2024
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Provider Practice Location Address
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Address Line | 777 CLEVELAND AVE SW STE 614
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City | ATLANTA
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State | GA
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Zip | 30315-7116
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Country | US
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Telephone | 404-436-7601
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Fax | 404-393-4930
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Provider Business Mailing Address
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Address Line | 4980 CASCADE OVERLOOK SW
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City | ATLANTA
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State | GA
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Zip | 30331-7370
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Country | US
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Telephone | 404-401-3758
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Fax |
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Authorized Official
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Title or Position | FOUNDER/OWNER
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Name | ERIN BLAKE
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Credential | MSOT, OTR/L
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Telephone | 404-401-3758
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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 |
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