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General NPI Number Information
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NPI Number | 1982854303
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Entity Type | Organization
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Legal Business Name | THERPY, INTERVENTION, PROGRAMS & SERVICES FOR CHILDREN, INC.
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Dates
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Enumeration Date | 09/22/2008
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Last Update Date | 09/22/2008
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Provider Practice Location Address
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Address Line | 711 SHIELDS RD
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City | DALTON
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State | GA
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Zip | 30720-5091
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Country | US
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Telephone | 706-278-3839
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Fax | 706-259-7432
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Provider Business Mailing Address
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Address Line | 711 SHIELDS RD
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City | DALTON
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State | GA
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Zip | 30720-5091
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Country | US
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Telephone | 706-278-3839
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Fax | 706-259-7432
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. CYNTHIA L MICHAELS
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Credential | OTR/L
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Telephone | 706-278-3839
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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Taxonomy #2
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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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