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General NPI Number Information
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NPI Number | 1578222857
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Entity Type | Organization
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Legal Business Name | SEATON HACKNEY STABLES
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Dates
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Enumeration Date | 12/14/2021
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Last Update Date | 12/14/2021
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Provider Practice Location Address
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Address Line | 440 SOUTH ST
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City | MORRISTOWN
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State | NJ
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Zip | 07960-6408
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Country | US
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Telephone | 973-644-3355
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Fax |
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Provider Business Mailing Address
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Address Line | 440 SOUTH ST
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City | MORRISTOWN
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State | NJ
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Zip | 07960-6408
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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 | THERAPEUTIC RIDING INSTRUCTOR
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Name | MISS MICHELLE ALYCE MILLER
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Credential | BS, CECTH CERTIFIED
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Telephone | 856-979-9849
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225800000X
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Taxonomy Name | Recreation Therapist
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License Number |
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License Number State |
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