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NPI 1114614856

NPI 1114614856 : TREEHOUSE LEARNING CENTER : LYNN, MA

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General NPI Number Information
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    NPI Number           |    1114614856
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    Entity Type          |    Organization 
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    Legal Business Name  |    TREEHOUSE LEARNING CENTER 
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Dates
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    Enumeration Date     |    04/21/2023
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    Last Update Date     |    04/21/2023
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Provider Practice Location Address
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    Address Line         |    30 BOSTON ST # 1 
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    City                 |    LYNN
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    State                |    MA
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    Zip                  |    01904-2540
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    Country              |    US
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    Telephone            |    781-584-7004
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    30 BOSTON ST # 1 
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    City                 |    LYNN
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    State                |    MA
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    Zip                  |    01904-2540
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    Country              |    US
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    Telephone            |    781-584-7004
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     YOEL  ROSARIO 
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    Credential           |    
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    Telephone            |    781-584-7004
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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