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General NPI Number Information
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NPI Number | 1982176079
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Entity Type | Organization
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Legal Business Name | ABILITIES CENTER, PLLC
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Dates
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Enumeration Date | 12/30/2018
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Last Update Date | 12/30/2018
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Provider Practice Location Address
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Address Line | 10 MOUNTAIN LEDGE
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City | WILTON
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State | NY
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Zip | 12831-2539
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Country | US
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Telephone | 518-306-1808
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Fax | 518-450-4670
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Provider Business Mailing Address
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Address Line | 10 MOUNTAIN LEDGE
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City | WILTON
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State | NY
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Zip | 12831-2539
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Country | US
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Telephone | 518-306-1808
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Fax | 518-450-4670
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Authorized Official
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Title or Position | CEO/OWNER/MEMBER
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Name | VALERIE KEEN
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Credential | MS, CCC-SLP
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Telephone | 518-796-8111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251P0200X
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Taxonomy Name | Pediatric Physical 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 | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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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 | 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 #4
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Taxonomy Code | 261QD1600X
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Taxonomy Name | Developmental Disabilities Clinic/Center
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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 | 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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