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General NPI Number Information
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NPI Number | 1396988671
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Entity Type | Organization
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Legal Business Name | ASSOCIATED THERAPIES, INC.
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Dates
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Enumeration Date | 04/15/2009
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Last Update Date | 04/15/2009
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Provider Practice Location Address
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Address Line | 924 N BROADWAY
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City | MASSAPEQUA
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State | NY
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Zip | 11758-2303
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Country | US
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Telephone | 516-826-4448
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Fax | 516-826-9793
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Provider Business Mailing Address
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Address Line | 924 N BROADWAY
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City | MASSAPEQUA
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State | NY
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Zip | 11758-2303
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Country | US
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Telephone | 516-826-4448
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Fax | 516-826-9793
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. PHILIP ANTHONY BONGIORNO
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Credential | OTR/L
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Telephone | 516-826-4448
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number | 4170
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License Number State | NY
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