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General NPI Number Information
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NPI Number | 1104708114
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Entity Type | Organization
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Legal Business Name | DOOR 2 DOOR THERAPY PLLC
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Dates
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Enumeration Date | 07/22/2025
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Last Update Date | 07/22/2025
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Provider Practice Location Address
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Address Line | 5900 BALCONES DR STE 100
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City | AUSTIN
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State | TX
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Zip | 78731-4298
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Country | US
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Telephone | --
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Fax |
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Provider Business Mailing Address
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Address Line | 180 SCHEPIS AVE
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City | SADDLE BROOK
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State | NJ
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Zip | 07663-4918
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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 | SUZETTE FAGAN
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Credential |
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Telephone | 732-284-3889
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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