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General NPI Number Information
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NPI Number | 1992545115
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Entity Type | Organization
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Legal Business Name | ALL-OF-T LLC
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Dates
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Enumeration Date | 05/27/2024
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Last Update Date | 11/03/2025
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Provider Practice Location Address
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Address Line | 2653 CANTON RD
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City | MARIETTA
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State | GA
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Zip | 30066-5385
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Country | US
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Telephone | 929-496-6435
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Fax |
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Provider Business Mailing Address
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Address Line | 2653 CANTON RD
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City | MARIETTA
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State | GA
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Zip | 30066-5385
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Country | US
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Telephone | 929-496-6435
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | TANAESJA MILLIGAN
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Credential |
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Telephone | 929-496-6435
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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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