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General NPI Number Information
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NPI Number | 1780858621
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Entity Type | Organization
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Legal Business Name | THE TALCOTT CENTER FOR CHILD DEVELOPMENT LLC
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Dates
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Enumeration Date | 04/22/2008
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Last Update Date | 08/09/2024
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Provider Practice Location Address
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Address Line | 304 MAIN STREET SUITE A
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City | FARMINGTON
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State | CT
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Zip | 06032
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Country | US
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Telephone | 806-674-1824
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Fax | 860-674-1836
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Provider Business Mailing Address
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Address Line | 230 FARMINGTON AVE
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City | FARMINGTON
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State | CT
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Zip | 06032-1916
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Country | US
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Telephone | 860-674-1824
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Fax | 860-674-1836
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Authorized Official
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Title or Position | CEO
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Name | PETER DAVIDSON
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Credential |
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Telephone | 860-674-1824
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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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 | 2251P0200X
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Taxonomy Name | Pediatric Physical Therapist
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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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 | 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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Taxonomy #6
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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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Taxonomy #7
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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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