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General NPI Number Information
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NPI Number | 1750104642
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Entity Type | Organization
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Legal Business Name | HUDSON KIDS THERAPY LLC
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Dates
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Enumeration Date | 11/07/2024
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Last Update Date | 11/07/2024
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Provider Practice Location Address
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Address Line | 2000 WEST ST STE 203-1
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City | UNION CITY
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State | NJ
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Zip | 07087-4694
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Country | US
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Telephone | 551-300-0229
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Fax |
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Provider Business Mailing Address
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Address Line | 2000 WEST ST STE 203-1
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City | UNION CITY
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State | NJ
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Zip | 07087-4694
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Country | US
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Telephone | 551-300-0229
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MAYK F ALSAQQA
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Credential | OT
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Telephone | 551-300-0229
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number |
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License Number State |
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