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General NPI Number Information
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NPI Number | 1023731312
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Entity Type | Organization
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Legal Business Name | SANDEE GARRETT LLC
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Dates
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Enumeration Date | 09/21/2022
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Last Update Date | 09/21/2022
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Provider Practice Location Address
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Address Line | 509 DELL RD
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City | LANDING
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State | NJ
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Zip | 07850-1710
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Country | US
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Telephone | 973-610-6018
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 536
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City | ROCKAWAY
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State | NJ
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Zip | 07866-0536
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Country | US
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Telephone | 973-610-6018
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SANDEE GARRETT
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Credential | BCBA
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Telephone | 973-610-6018
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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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Taxonomy #2
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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 #3
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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