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General NPI Number Information
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NPI Number | 1013450394
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Entity Type | Organization
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Legal Business Name | MEILSSA BIALOWASZ INC.
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Dates
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Enumeration Date | 11/18/2016
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Last Update Date | 11/18/2016
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Provider Practice Location Address
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Address Line | 12 FAIRLANE DR
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City | SELDEN
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State | NY
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Zip | 11784-1717
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Country | US
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Telephone | 516-860-4477
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Fax |
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Provider Business Mailing Address
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Address Line | 12 FAIRLANE DR
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City | SELDEN
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State | NY
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Zip | 11784-1717
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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 | PRESIDENT
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Name | MELISSA SILVESTRO
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Credential | OTR/L
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Telephone | 516-860-4477
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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 | 011143-1
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License Number State | NY
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