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General NPI Number Information
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NPI Number | 1750845327
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Entity Type | Organization
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Legal Business Name | CNNH THERAPY LLC
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Dates
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Enumeration Date | 01/28/2019
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Last Update Date | 01/05/2024
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Provider Practice Location Address
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Address Line | 170 N HENDERSON RD STE 200
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City | KING OF PRUSSIA
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State | PA
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Zip | 19406-4422
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Country | US
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Telephone | 856-346-0005
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Fax |
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Provider Business Mailing Address
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Address Line | 2050 VOORHEES TOWN CTR
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City | VOORHEES
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State | NJ
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Zip | 08043-1910
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Country | US
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Telephone | 855-852-8150
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Fax | 855-266-6180
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Authorized Official
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Title or Position | CFO
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Name | MR. DANIEL CLEMONS
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Credential |
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Telephone | 856-346-0005
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103TM1800X
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Taxonomy Name | Intellectual & Developmental Disabilities Psychologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 106E00000X
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Taxonomy Name | Assistant Behavior Analyst
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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