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NPI 1124849633

NPI 1124849633 : THERAPEUTIC RESOURCES INC. : ROCKY RIVER, OH

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General NPI Number Information
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    NPI Number           |    1124849633
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    Entity Type          |    Organization 
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    Legal Business Name  |    THERAPEUTIC RESOURCES INC. 
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Dates
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    Enumeration Date     |    10/18/2024
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    Last Update Date     |    10/18/2024
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Provider Practice Location Address
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    Address Line         |    19336 LAUREL AVE 
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    City                 |    ROCKY RIVER
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    State                |    OH
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    Zip                  |    44116-2769
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    Country              |    US
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    Telephone            |    888-331-7114
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    19336 LAUREL AVE 
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    City                 |    ROCKY RIVER
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    State                |    OH
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    Zip                  |    44116-2769
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    Country              |    US
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    Telephone            |    888-331-7114
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    Fax                  |    
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Authorized Official
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    Title or Position    |    ADMISTRATOR
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    Name                 |     BARBARA  SLEDZ 
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    Credential           |    
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    Telephone            |    888-331-7114
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251C00000X
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    Taxonomy Name        |    Developmentally Disabled Services Day Training Agency
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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        |    261QM0801X
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    Taxonomy Name        |    Mental Health Clinic/Center (Including Community Mental Health Center)
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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        |    261QR1100X
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    Taxonomy Name        |    Research Clinic/Center
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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        |    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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