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General NPI Number Information
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NPI Number | 1043508211
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Entity Type | Organization
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Legal Business Name | THERAPEUTIC INNOVATIONS, LLC
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Dates
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Enumeration Date | 07/21/2011
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Last Update Date | 07/21/2011
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Provider Practice Location Address
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Address Line | 3 HILLWOOD PL
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City | NORWALK
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State | CT
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Zip | 06850-1509
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Country | US
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Telephone | 646-397-6160
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Fax |
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Provider Business Mailing Address
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Address Line | 3 HILLWOOD PL
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City | NORWALK
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State | CT
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Zip | 06850-1509
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. GOESTA SCHLEGEL
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Credential | OTR/L
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Telephone | 646-397-6160
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 001627
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 008822-1
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number | 001627
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License Number State | CT
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Taxonomy #4
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number | 008822-1
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License Number State | NY
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