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General NPI Number Information
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NPI Number | 1033364542
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Entity Type | Organization
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Legal Business Name | FIRST STEPS SPEECH LANGUAGE PATHOLOGY AND OCCUPATIONAL THERAPY, PLLC
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Dates
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Enumeration Date | 11/25/2008
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Last Update Date | 11/25/2008
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Provider Practice Location Address
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Address Line | 916 THUNDER HILL RD
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City | WOODBOURNE
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State | NY
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Zip | 12788-6618
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Country | US
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Telephone | 845-399-2975
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Fax |
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Provider Business Mailing Address
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Address Line | 916 THUNDER HILL RD
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City | WOODBOURNE
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State | NY
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Zip | 12788-6618
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Country | US
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Telephone | 845-399-2975
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Fax |
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Authorized Official
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Title or Position | OCCUPATIONAL THERAPIST/ CO-OWNER
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Name | MRS. RACHEL JEANNE LA FORGE
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Credential | MS OTR/L
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Telephone | 845-399-2975
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number | 012239-1
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License Number State | NY
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