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General NPI Number Information
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NPI Number | 1871069591
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Entity Type | Organization
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Legal Business Name | INNOVATIVE THERAPY PARTNERS LLC
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Dates
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Enumeration Date | 10/19/2018
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Last Update Date | 10/20/2020
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Provider Practice Location Address
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Address Line | 1010 AUDACE AVE APT 402
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City | BOYNTON BEACH
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State | FL
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Zip | 33426-3450
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Country | US
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Telephone | 561-716-0804
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Fax | 855-855-4089
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Provider Business Mailing Address
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Address Line | 1010 AUDACE AVE APT 402
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City | BOYNTON BEACH
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State | FL
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Zip | 33426-3450
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Country | US
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Telephone | 561-716-0804
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Fax | 855-855-4089
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. JASON ELOWITZ
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Credential |
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Telephone | 561-716-0804
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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Taxonomy #2
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Taxonomy Code | 106S00000X
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Taxonomy Name | Behavior Technician
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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 | 222Q00000X
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Taxonomy Name | Developmental 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 | 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 #5
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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 #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 | 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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Taxonomy #8
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number |
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License Number State |
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