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General NPI Number Information
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NPI Number | 1356620280
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Entity Type | Organization
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Legal Business Name | CHILDHOOD ENRICHMENT THERAPY, INC.
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Dates
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Enumeration Date | 08/09/2011
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Last Update Date | 08/09/2011
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Provider Practice Location Address
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Address Line | 126 ATHENS DR
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City | GREENSBURG
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State | PA
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Zip | 15601-4976
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Country | US
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Telephone | 724-331-6853
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Fax |
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Provider Business Mailing Address
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Address Line | 126 ATHENS DR
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City | GREENSBURG
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State | PA
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Zip | 15601-4976
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | KAITLIN SANTAMARIA
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Credential | PHYSICAL THERAPIST
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Telephone | 724-331-6853
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 222Q00000X
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Taxonomy Name | Developmental Therapist
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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 | 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 #3
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Taxonomy Code | 171W00000X
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Taxonomy Name | Contractor
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License Number |
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License Number State |
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