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General NPI Number Information
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NPI Number | 1063061133
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Entity Type | Organization
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Legal Business Name | THERAPLACE INC.
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Dates
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Enumeration Date | 09/10/2019
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Last Update Date | 09/10/2019
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Provider Practice Location Address
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Address Line | 21 KATHLEEN DR
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City | LAKEWOOD
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State | NJ
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Zip | 08701-5673
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Country | US
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Telephone | 732-367-7442
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Fax |
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Provider Business Mailing Address
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Address Line | 21 KATHLEEN DR
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City | LAKEWOOD
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State | NJ
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Zip | 08701-5673
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Country | US
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Telephone | 732-367-7442
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | LEAH RUMSTEIN
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Credential | OTR/L
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Telephone | 732-367-7442
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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 |
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License Number State |
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