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General NPI Number Information
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NPI Number | 1386842169
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Entity Type | Organization
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Legal Business Name | EARLY INTERVENTION, INC.
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Dates
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Enumeration Date | 07/03/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 223 ELIZABETH STREET
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City | ELIZABETHTOWN
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State | KY
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Zip | 42701
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Country | US
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Telephone | 270-312-9484
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Fax |
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Provider Business Mailing Address
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Address Line | 223 ELIZABETH STREET
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City | ELIZABETHTOWN
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State | KY
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Zip | 42701
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Country | US
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Telephone | 270-312-9484
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MARILYN MURLEY
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Credential |
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Telephone | 270-312-9484
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State | KY
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