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General NPI Number Information
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NPI Number | 1780268771
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Entity Type | Organization
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Legal Business Name | BUILDING SKILLS FOR LIFE LLC
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Dates
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Enumeration Date | 05/06/2021
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Last Update Date | 05/06/2021
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Provider Practice Location Address
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Address Line | 85 LAFAYETTE ST
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City | MILFORD
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State | CT
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Zip | 06460-4711
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Country | US
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Telephone | 646-283-4546
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Fax |
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Provider Business Mailing Address
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Address Line | 85 LAFAYETTE ST
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City | MILFORD
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State | CT
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Zip | 06460-4711
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Country | US
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Telephone | 646-283-4546
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Fax |
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Authorized Official
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Title or Position | OTR. CEO
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Name | MRS. CATHARINA H HUBERS
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Credential | MA
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Telephone | 646-283-4546
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number |
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License Number State |
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