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General NPI Number Information
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NPI Number | 1982816526
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Entity Type | Organization
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Legal Business Name | BARON THERAPY SERVICES, LLC
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Dates
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Enumeration Date | 05/04/2007
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Last Update Date | 11/02/2018
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Provider Practice Location Address
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Address Line | 15 RESEARCH DR UNIT #1
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City | WOODBRIDGE
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State | CT
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Zip | 06525-2348
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Country | US
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Telephone | 203-387-1401
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 3568
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City | WOODBRIDGE
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State | CT
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Zip | 06525-0141
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Country | US
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Telephone | 203-387-1401
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Fax |
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Authorized Official
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Title or Position | DIRECTOR - SPEECH PATHOLOGIST
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Name | MRS. LISA BARON
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Credential | MS, CCC SLP
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Telephone | 203-387-1401
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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 | 002605
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License Number State | CT
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