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General NPI Number Information
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NPI Number | 1730591926
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Entity Type | Organization
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Legal Business Name | ATTENTIVE THERAPY GROUP INC
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Dates
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Enumeration Date | 05/22/2014
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Last Update Date | 05/22/2014
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Provider Practice Location Address
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Address Line | 19 CAPITAL LN
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City | LAKEWOOD
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State | NJ
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Zip | 08701-5098
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Country | US
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Telephone | 732-710-4443
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Fax | 732-710-4446
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Provider Business Mailing Address
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Address Line | 501 CHESTNUT RIDGE RD
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City | CHESTNUT RIDGE
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State | NY
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Zip | 10977-5600
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Country | US
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Telephone | 845-325-4545
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Fax | 732-710-4446
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Authorized Official
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Title or Position | PRESIDENT
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Name | CHAIM LOBL
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Credential |
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Telephone | 732-710-4443
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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