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General NPI Number Information
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NPI Number | 1467786475
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Entity Type | Organization
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Legal Business Name | CARLYLE THERAPY ASSOCIATES, LLC
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Dates
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Enumeration Date | 09/23/2009
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Last Update Date | 02/19/2014
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Provider Practice Location Address
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Address Line | 2111 SPRING CT
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City | PALM BEACH GARDENS
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State | FL
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Zip | 33410-1297
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Country | US
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Telephone | 561-707-9640
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Fax | 561-557-4415
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Provider Business Mailing Address
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Address Line | 2111 SPRING CT
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City | PALM BEACH GARDENS
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State | FL
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Zip | 33410-1297
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Country | US
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Telephone | 561-707-9640
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Fax | 561-557-4415
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Authorized Official
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Title or Position | PRESIDENT
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Name | LISA CARLYLE
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Credential |
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Telephone | 561-707-9640
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251P0200X
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Taxonomy Name | Pediatric Physical Therapist
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License Number |
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License Number State |
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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 |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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