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General NPI Number Information
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NPI Number | 1053552323
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Entity Type | Organization
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Legal Business Name | ACORN DEVELOPMENTAL THERAPY
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Dates
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Enumeration Date | 03/17/2009
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Last Update Date | 04/11/2016
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Provider Practice Location Address
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Address Line | 206 HERMITAGE RD
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City | GREENSBORO
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State | NC
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Zip | 27403-1401
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Country | US
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Telephone | 336-707-3739
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Fax | 336-763-8784
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Provider Business Mailing Address
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Address Line | 206 HERMITAGE RD
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City | GREENSBORO
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State | NC
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Zip | 27403-1401
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Country | US
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Telephone | 336-707-3739
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Fax | 336-763-8784
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. ANN LINDBERG
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Credential | OTR/L
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Telephone | 336-707-3739
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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 | 1628
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License Number State | NC
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