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General NPI Number Information
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NPI Number | 1467813188
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Entity Type | Organization
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Legal Business Name | THERAPYWORKS LLC
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Dates
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Enumeration Date | 03/08/2016
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Last Update Date | 03/08/2016
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Provider Practice Location Address
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Address Line | 74 MADISON TERRACE
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City | SPRINGFIELD
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State | NJ
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Zip | 07081
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Country | US
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Telephone | 973-856-2237
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Fax |
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Provider Business Mailing Address
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Address Line | 74 MADISON TER
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City | SPRINGFIELD
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State | NJ
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Zip | 07081-3411
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OCCUPATIONAL THERAPIST
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Name | MIKHAIL ABDURAKHMANOV
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Credential |
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Telephone | 973-856-2237
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number | 46TR00650600
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License Number State | NJ
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