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General NPI Number Information
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NPI Number | 1902527856
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Entity Type | Organization
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Legal Business Name | INCLUSIONARY THERAPY LLC
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Dates
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Enumeration Date | 09/08/2022
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Last Update Date | 10/20/2025
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Provider Practice Location Address
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Address Line | 198 OLD SYMSONIA RD SUITE 201
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City | BENTON
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State | KY
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Zip | 42025-8099
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Country | US
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Telephone | 270-703-5497
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1035
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City | BENTON
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State | KY
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Zip | 42025-1035
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Country | US
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Telephone | 270-533-3089
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Fax | 270-573-1559
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Authorized Official
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Title or Position | OWNER
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Name | NOAH STEELE
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Credential | OTR/L
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Telephone | 270-703-5497
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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Taxonomy #2
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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 #3
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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 #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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