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General NPI Number Information
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NPI Number | 1710248265
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Entity Type | Organization
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Legal Business Name | ABILITY BEYOND DISABILITY
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Dates
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Enumeration Date | 05/31/2012
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Last Update Date | 05/31/2012
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Provider Practice Location Address
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Address Line | 120 KISCO AVE
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City | MOUNT KISCO
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State | NY
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Zip | 10549-1415
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Country | US
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Telephone | 914-242-8720
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Fax |
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Provider Business Mailing Address
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Address Line | 4 BERKSHIRE BLVD
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City | BETHEL
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State | CT
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Zip | 06801-1001
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | NY TEAM LEADER
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Name | AMY MARKS
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Credential | SLP
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Telephone | 914-984-2321
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 017130-1
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License Number State | NY
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