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General NPI Number Information
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NPI Number | 1851423255
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Entity Type | Organization
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Legal Business Name | ABL THERAPY SERVICES, LLC
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Dates
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Enumeration Date | 03/12/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1453 RED PINE TRL
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City | WELLINGTON
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State | FL
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Zip | 33414-5829
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Country | US
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Telephone | 561-753-1153
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Fax | 561-753-1341
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Provider Business Mailing Address
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Address Line | 1453 RED PINE TRL
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City | WELLINGTON
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State | FL
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Zip | 33414-5829
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Country | US
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Telephone | 561-753-1153
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Fax | 561-753-1341
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Authorized Official
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Title or Position | OWNER
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Name | MS. LINDA LEE VINCI
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Credential | P.T.
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Telephone | 561-753-1153
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171W00000X
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Taxonomy Name | Contractor
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License Number | L06000083381
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License Number State | FL
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