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General NPI Number Information
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NPI Number | 1386943157
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Entity Type | Organization
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Legal Business Name | SBK INTERVENTIONS, LLC
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Dates
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Enumeration Date | 03/20/2011
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Last Update Date | 03/20/2011
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Provider Practice Location Address
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Address Line | 48 SAFFRON LN
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City | EAST HAMPTON
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State | CT
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Zip | 06424-1708
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Country | US
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Telephone | 860-944-8979
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Fax | 860-633-2257
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Provider Business Mailing Address
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Address Line | 76 EASTERN BLVD SUITE 101
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City | GLASTONBURY
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State | CT
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Zip | 06033-4382
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Country | US
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Telephone | 860-944-8979
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Fax | 860-633-2257
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Authorized Official
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Title or Position | OWNER
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Name | MRS. STEPHANIE BENDISKE
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Credential | MS CCC-SLP BCBA
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Telephone | 860-944-8979
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA3000X
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Taxonomy Name | Augmentative Communication Clinic/Center
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License Number | 003168
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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