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General NPI Number Information
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NPI Number | 1790377620
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Entity Type | Organization
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Legal Business Name | THERAPY IN MOTION LLC
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Dates
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Enumeration Date | 02/11/2021
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Last Update Date | 02/11/2021
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Provider Practice Location Address
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Address Line | 16 QUAKER AVE STOP 3
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City | CORNWALL
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State | NY
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Zip | 12518-2113
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Country | US
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Telephone | 845-288-2672
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Fax |
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Provider Business Mailing Address
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Address Line | 16 QUAKER AVE STOP 3
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City | CORNWALL
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State | NY
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Zip | 12518-2113
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Country | US
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Telephone | 845-288-2672
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Fax |
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Authorized Official
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Title or Position | OWNER, PSYCHOTHERAPIST
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Name | ANNMARIE COLANDREA
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Credential | LCSWR
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Telephone | 845-288-2672
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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