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General NPI Number Information
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NPI Number | 1154413656
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Entity Type | Organization
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Legal Business Name | THERAPY BY DESIGN
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Dates
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Enumeration Date | 09/29/2006
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 1709 BELMONT LN
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City | NORTH LAUDERDALE
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State | FL
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Zip | 33068-4285
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Country | US
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Telephone | 954-720-5560
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Fax |
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Provider Business Mailing Address
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Address Line | 1709 BELMONT LN
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City | NORTH LAUDERDALE
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State | FL
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Zip | 33068-4285
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Country | US
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Telephone | 954-720-5560
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Fax |
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Authorized Official
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Title or Position | COOTA/L
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Name | RANDI F. ADLER
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Credential | OTA/L
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Telephone | 754-234-7652
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320600000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Residential Treatment Facility
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License Number | 10304
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License Number State | FL
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