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General NPI Number Information
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NPI Number | 1114083284
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Entity Type | Organization
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Legal Business Name | COMMUNITY ACCESS THERAPY SERVICES, INC
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Dates
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Enumeration Date | 12/30/2006
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Last Update Date | 03/14/2021
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Provider Practice Location Address
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Address Line | 5 DUNDAS CIR SUITES BCD
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City | GREENSBORO
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State | NC
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Zip | 27407-1662
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Country | US
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Telephone | 336-294-3338
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Fax | 336-294-6696
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Provider Business Mailing Address
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Address Line | 7402 CORNUS CT
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City | SUMMERFIELD
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State | NC
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Zip | 27358-9514
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Country | US
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Telephone | 336-294-3338
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Fax | 336-294-6696
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Authorized Official
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Title or Position | PRESIDENT
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Name | LESLIE CHESSON WOLFF
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Credential |
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Telephone | 336-294-3338
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 222Q00000X
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Taxonomy Name | Developmental Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225400000X
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Taxonomy Name | Rehabilitation Practitioner
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 2251P0200X
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Taxonomy Name | Pediatric Physical Therapist
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License Number | 2044
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License Number State | NC
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