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General NPI Number Information
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NPI Number | 1639091945
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Entity Type | Organization
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Legal Business Name | SWEET BLOOM INTEGRATED THERAPIES LLC
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Dates
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Enumeration Date | 07/28/2026
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Last Update Date | 07/28/2026
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Provider Practice Location Address
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Address Line | 44 GODWIN AVE STE 300
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City | MIDLAND PARK
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State | NJ
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Zip | 07432-1959
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Country | US
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Telephone | 201-431-5712
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Fax |
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Provider Business Mailing Address
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Address Line | 44 GODWIN AVE STE 300
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City | MIDLAND PARK
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State | NJ
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Zip | 07432-1959
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Country | US
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Telephone | 201-431-5712
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF OPERATIONS
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Name | SUN OH
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Credential |
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Telephone | 201-431-5712
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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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 | 2251P0200X
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Taxonomy Name | Pediatric Physical Therapist
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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 | 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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Taxonomy #4
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Taxonomy Code | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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