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General NPI Number Information
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NPI Number | 1861024457
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Entity Type | Organization
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Legal Business Name | TREEHOUSE CENTER FOR SENSORY INTEGRATION
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Dates
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Enumeration Date | 02/11/2020
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Last Update Date | 02/11/2020
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Provider Practice Location Address
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Address Line | 19 MUZZEY ST # L20
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City | LEXINGTON
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State | MA
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Zip | 02421-5256
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Country | US
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Telephone | 781-819-4443
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Fax |
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Provider Business Mailing Address
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Address Line | 7 HAYES LN
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City | LEXINGTON
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State | MA
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Zip | 02420-3703
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Country | US
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Telephone | 781-819-4443
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Fax |
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Authorized Official
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Title or Position | OWNER/ DIRECTOR
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Name | MS. ANASTASIA IVANENKO
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Credential | OTR/L
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Telephone | 781-819-4443
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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