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General NPI Number Information
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NPI Number | 1629299102
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Entity Type | Organization
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Legal Business Name | THERABILITIES, INC.
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Dates
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Enumeration Date | 05/01/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4210 LINGLESTOWN RD
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City | HARRISBURG
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State | PA
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Zip | 17112-1025
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Country | US
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Telephone | 717-540-9218
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Fax | 717-545-3127
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Provider Business Mailing Address
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Address Line | 4210 LINGLESTOWN RD
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City | HARRISBURG
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State | PA
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Zip | 17112-1025
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Country | US
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Telephone | 717-540-9218
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Fax | 717-545-3127
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Authorized Official
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Title or Position | TREASURER CO OWNER
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Name | NANCY MALLIS
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Credential | OTRL
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Telephone | 717-540-9218
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State | PA
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