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General NPI Number Information
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NPI Number | 1376240614
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Entity Type | Organization
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Legal Business Name | THERAPY GARDEN
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Dates
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Enumeration Date | 02/07/2023
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Last Update Date | 03/13/2024
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Provider Practice Location Address
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Address Line | 1 BETHANY RD STE 15
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City | HAZLET
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State | NJ
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Zip | 07730-1659
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Country | US
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Telephone | 732-778-1311
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Fax |
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Provider Business Mailing Address
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Address Line | 1 BETHANY RD STE 15
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City | HAZLET
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State | NJ
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Zip | 07730-1659
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Country | US
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Telephone | 732-778-1311
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Fax |
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Authorized Official
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Title or Position | SPEECH LANGUAGE PATHOLOGIST
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Name | LUISA RINAUDO
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Credential | M.S., CCC-SLP
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Telephone | 732-778-1311
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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Taxonomy Code | 261QA3000X
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Taxonomy Name | Augmentative Communication Clinic/Center
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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 | 261QD1600X
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Taxonomy Name | Developmental Disabilities Clinic/Center
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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 | 320700000X
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Taxonomy Name | Physical Disabilities Residential Treatment Facility
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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 | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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License Number |
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License Number State |
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