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General NPI Number Information
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NPI Number | 1164348090
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Entity Type | Organization
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Legal Business Name | ABLEWAY LLC
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Dates
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Enumeration Date | 06/25/2026
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Last Update Date | 06/25/2026
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Provider Practice Location Address
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Address Line | 3425 SIMPSON FERRY RD STE 100
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City | CAMP HILL
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State | PA
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Zip | 17011-6405
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Country | US
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Telephone | 253-426-2010
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Fax |
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Provider Business Mailing Address
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Address Line | 141 N PALMETTO AVE UNIT 2150
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City | EAGLE
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State | ID
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Zip | 83616-8086
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Country | US
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Telephone | 253-426-2010
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Fax |
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Authorized Official
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Title or Position | OPERATIONS PARTNER
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Name | MR. BRIAN LEE SUNDERLAND JR.
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Credential |
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Telephone | 253-426-2010
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 373H00000X
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Taxonomy Name | Day Training/Habilitation Specialist
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License Number |
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License Number State |
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