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NPI 1992079461

NPI 1992079461 : THE WESTON GROUP INC : BENNINGTON, VT

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General NPI Number Information
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    NPI Number           |    1992079461
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    Entity Type          |    Organization 
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    Legal Business Name  |    THE WESTON GROUP INC 
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Dates
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    Enumeration Date     |    03/01/2012
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    Last Update Date     |    03/20/2012
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Provider Practice Location Address
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    Address Line         |    300 VILLAGE LN 
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    City                 |    BENNINGTON
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    State                |    VT
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    Zip                  |    05201-9041
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    Country              |    US
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    Telephone            |    802-447-7000
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    Fax                  |    802-447-8888
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Provider Business Mailing Address
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    Address Line         |    2222 SULLIVAN TRL 
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    City                 |    EASTON
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    State                |    PA
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    Zip                  |    18040-7958
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    Country              |    US
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    Telephone            |    800-944-9782
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    Fax                  |    610-438-2046
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |     RANDALL A WESTON 
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    Credential           |    OTR/L
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    Telephone            |    800-944-9782
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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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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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