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General NPI Number Information
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NPI Number | 1306101803
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Entity Type | Organization
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Legal Business Name | ACM THERAPY GROUP LLC
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Dates
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Enumeration Date | 07/10/2012
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Last Update Date | 11/09/2020
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Provider Practice Location Address
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Address Line | 915 S MCKINLEY ST
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City | CASPER
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State | WY
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Zip | 82601-3440
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Country | US
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Telephone | 307-267-7224
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Fax | 307-265-2183
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Provider Business Mailing Address
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Address Line | 915 S MCKINLEY ST
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City | CASPER
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State | WY
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Zip | 82601-3440
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Country | US
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Telephone | 307-267-7224
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Fax | 307-265-2183
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Authorized Official
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Title or Position | OWNER
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Name | ROBERT LEE PETERSON
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Credential |
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Telephone | 307-267-7224
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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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 | 224ZF0002X
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Taxonomy Name | Feeding, Eating & Swallowing Occupational Therapy Assistant
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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 | 225XF0002X
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Taxonomy Name | Feeding, Eating & Swallowing Occupational Therapist
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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