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General NPI Number Information
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NPI Number | 1437462074
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Entity Type | Organization
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Legal Business Name | STS THERAPY SERVICES LLC
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Dates
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Enumeration Date | 07/25/2010
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Last Update Date | 01/30/2015
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Provider Practice Location Address
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Address Line | 1074 TIMES SQUARE BLVD
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City | LAKEWOOD
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State | NJ
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Zip | 08701-5524
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Country | US
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Telephone | 732-456-6276
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Fax | 732-612-1265
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Provider Business Mailing Address
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Address Line | 1074 TIMES SQUARE BLVD
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City | LAKEWOOD
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State | NJ
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Zip | 08701-5524
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Country | US
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Telephone | 732-456-6276
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Fax | 732-363-7826
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Authorized Official
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Title or Position | PRESIDENT
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Name | ISRAEL STEIN
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Credential |
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Telephone | 732-456-6276
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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 | 46TR00417800
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 41YS00534100
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License Number State | NJ
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