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General NPI Number Information
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NPI Number | 1114979226
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Entity Type | Organization
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Legal Business Name | CARLSON THERAPY NETWORK, PC
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Dates
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Enumeration Date | 05/17/2006
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Last Update Date | 07/15/2024
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Provider Practice Location Address
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Address Line | 116 DANBURY RD STE 5
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City | NEW MILFORD
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State | CT
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Zip | 06776-3442
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Country | US
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Telephone | 860-799-6320
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Fax | 860-799-6621
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Provider Business Mailing Address
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Address Line | 116 DANBURY RD STE 5
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City | NEW MILFORD
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State | CT
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Zip | 06776-3442
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Country | US
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Telephone | 860-799-6320
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Fax | 860-799-6621
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Authorized Official
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Title or Position | CEO
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Name | BEN CARLSON
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Credential | CEO
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Telephone | 860-799-6320
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225XH1200X
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Taxonomy Name | Hand Occupational Therapist
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License Number |
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State | CT
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