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General NPI Number Information
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NPI Number | 1629610787
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Entity Type | Organization
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Legal Business Name | LK THERAPY PT, OT AND SLP PLLC
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Dates
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Enumeration Date | 10/10/2019
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Last Update Date | 10/10/2019
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Provider Practice Location Address
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Address Line | 34 JACKSON AVE
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City | MIDDLETOWN
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State | NY
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Zip | 10940-4123
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Country | US
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Telephone | 845-341-8817
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Fax | 845-697-5064
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Provider Business Mailing Address
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Address Line | PO BOX 158
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City | SLATE HILL
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State | NY
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Zip | 10973-0158
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Country | US
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Telephone | 845-697-5064
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Fax |
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Authorized Official
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Title or Position | CO-OWNER
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Name | LAURYN MARY BARRETT
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Credential | SLP
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Telephone | 845-697-5064
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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