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General NPI Number Information
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NPI Number | 1720692718
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Entity Type | Organization
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Legal Business Name | THRIVE THERAPY SOLUTIONS INC
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Dates
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Enumeration Date | 09/07/2020
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Last Update Date | 07/22/2022
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Provider Practice Location Address
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Address Line | 10316 COTTON BLOSSOM DR
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City | FISHERS
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State | IN
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Zip | 46038-6558
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Country | US
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Telephone | 812-614-6183
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Fax |
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Provider Business Mailing Address
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Address Line | 10316 COTTON BLOSSOM DR
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City | FISHERS
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State | IN
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Zip | 46038-6558
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Country | US
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Telephone | 812-614-6183
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | ALECIA MARIE JOHNSON
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Credential |
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Telephone | 812-614-6183
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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License Number |
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License Number State |
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