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General NPI Number Information
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NPI Number | 1023775152
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Entity Type | Organization
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Legal Business Name | ONE STAGE AT A TIME THERAPY SERVICES
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Dates
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Enumeration Date | 11/23/2021
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Last Update Date | 11/23/2021
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Provider Practice Location Address
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Address Line | 176 E HARBOR
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City | HENDERSONVILLE
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State | TN
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Zip | 37075-3553
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Country | US
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Telephone | 414-712-8650
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Fax | 615-709-6399
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Provider Business Mailing Address
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Address Line | 176 E HARBOR
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City | HENDERSONVILLE
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State | TN
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Zip | 37075-3553
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Country | US
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Telephone | 414-712-8650
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Fax | 615-709-6399
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Authorized Official
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Title or Position | EDUCATIONAL SPECIALIST
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Name | MRS. COLETTE ALLEN
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Credential |
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Telephone | 414-712-8650
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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