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General NPI Number Information
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NPI Number | 1205059862
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Entity Type | Organization
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Legal Business Name | POSITIVE THERAPY SERVICES, LLC
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Dates
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Enumeration Date | 04/11/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 5782 OBSERVATION CT
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City | MILFORD
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State | OH
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Zip | 45150-1472
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Country | US
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Telephone | 513-312-3964
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Fax | 866-505-5231
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Provider Business Mailing Address
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Address Line | 5782 OBSERVATION CT
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City | MILFORD
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State | OH
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Zip | 45150-1472
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Country | US
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Telephone | 513-312-3964
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Fax | 866-505-5231
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Authorized Official
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Title or Position | CFO
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Name | ERIN HERMAN
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Credential | CCC-SLP
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Telephone | 513-312-3964
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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