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General NPI Number Information
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NPI Number | 1932913290
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Entity Type | Organization
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Legal Business Name | MILESTONES TO MOUNTAINS, SLP AND OT, PLLC
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Dates
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Enumeration Date | 02/05/2025
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Last Update Date | 02/06/2025
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Provider Practice Location Address
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Address Line | 3 EISENHOWER CT
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City | ALBANY
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State | NY
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Zip | 12205-4254
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Country | US
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Telephone | 518-417-4571
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Fax |
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Provider Business Mailing Address
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Address Line | 3 EISENHOWER CT
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City | ALBANY
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State | NY
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Zip | 12205-4254
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER, BUSINESS PARTNER
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Name | JENNA PLANZ
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Credential | MS, OTR/L
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Telephone | 518-417-4571
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #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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