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General NPI Number Information
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NPI Number | 1508923756
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Entity Type | Organization
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Legal Business Name | THERAPEUTIC SPECIALTIES INC
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Dates
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Enumeration Date | 01/03/2007
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Last Update Date | 02/15/2016
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Provider Practice Location Address
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Address Line | 5240 OAKLAND AVE # A
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City | SAINT LOUIS
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State | MO
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Zip | 63110-1436
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Country | US
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Telephone | 314-291-9900
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Fax | 314-291-9909
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Provider Business Mailing Address
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Address Line | 11469 OLIVE BLVD # 116
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City | CREVE COEUR
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State | MO
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Zip | 63141-7108
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Country | US
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Telephone | 314-291-9900
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Fax | 314-291-9909
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Authorized Official
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Title or Position | CEO
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Name | MICHAEL BENDER
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Credential | OTR/L
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Telephone | 314-291-9900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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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 | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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