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General NPI Number Information
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NPI Number | 1396910840
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Entity Type | Organization
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Legal Business Name | ASSOCIATES IN PEDIATRIC THERAPY, LLC
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Dates
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Enumeration Date | 04/25/2008
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Last Update Date | 06/04/2019
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Provider Practice Location Address
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Address Line | 90 HOWARD DR
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City | SHELBYVILLE
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State | KY
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Zip | 40065-8138
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Country | US
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Telephone | 502-633-1007
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Fax | 502-437-0624
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Provider Business Mailing Address
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Address Line | 90 HOWARD DR
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City | SHELBYVILLE
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State | KY
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Zip | 40065-8138
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Country | US
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Telephone | 502-633-1007
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Fax | 502-437-0624
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Authorized Official
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Title or Position | OWNER
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Name | ANGELA RENEA SAGESER
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Credential | MS CCCSLP
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Telephone | 502-633-1007
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 101156
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 101156
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License Number State | KY
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Taxonomy #4
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 101156
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License Number State | KY
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Taxonomy #7
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number |
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License Number State |
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