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General NPI Number Information
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NPI Number | 1598559858
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Entity Type | Organization
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Legal Business Name | SPECIAL EQUESTRIANS
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Dates
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Enumeration Date | 04/09/2025
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Last Update Date | 04/09/2025
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Provider Practice Location Address
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Address Line | 2800 STREET RD
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City | WARRINGTON
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State | PA
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Zip | 18976-1637
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Country | US
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Telephone | 215-918-1001
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1001
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City | WARRINGTON
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State | PA
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Zip | 18976-1046
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Country | US
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Telephone | 215-918-1001
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | JANICE WITT
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Credential | OTR/L
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Telephone | 610-742-6584
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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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 | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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Taxonomy #4
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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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