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General NPI Number Information
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NPI Number | 1750740890
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Entity Type | Organization
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Legal Business Name | REECE CENTER THERAPY, LLC
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Dates
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Enumeration Date | 02/17/2016
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Last Update Date | 02/17/2016
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Provider Practice Location Address
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Address Line | 364 BOSTON TPKE
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City | SHREWSBURY
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State | MA
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Zip | 01545-3869
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Country | US
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Telephone | 508-925-0083
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Fax | 508-848-0925
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Provider Business Mailing Address
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Address Line | 364 BOSTON TPKE
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City | SHREWSBURY
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State | MA
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Zip | 01545-3869
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Country | US
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Telephone | 508-925-0083
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Fax | 508-848-0925
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Authorized Official
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Title or Position | OWNER
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Name | KIMBERLY GOODWIN
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Credential | MA, BCBA, LABA
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Telephone | 508-925-0083
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 282
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License Number State | MA
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