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General NPI Number Information
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NPI Number | 1598301723
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Entity Type | Organization
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Legal Business Name | ABILITIES, OCCUPATIONAL THERAPY, PHYSICAL THERAPY SPEECH LANGUAGE PATH
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Dates
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Enumeration Date | 11/22/2019
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Last Update Date | 11/22/2019
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Provider Practice Location Address
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Address Line | 10 MOUNTAIN LEDGE
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City | GANSEVOORT
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State | NY
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Zip | 12831-2539
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Country | US
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Telephone | 518-306-1808
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Fax | 518-887-8602
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Provider Business Mailing Address
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Address Line | 10 MOUNTAIN LEDGE
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City | GANSEVOORT
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State | NY
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Zip | 12831-2539
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Country | US
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Telephone | 518-306-1808
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Fax | 518-887-8602
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Authorized Official
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Title or Position | BILLING CLERK
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Name | MS. CHRISTINE BATTSITA
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Credential |
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Telephone | 845-325-2275
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number |
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License Number State |
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