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General NPI Number Information
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NPI Number | 1043366248
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Entity Type | Organization
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Legal Business Name | EMPOWERING MINDS THERAPY INC.
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Dates
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Enumeration Date | 01/28/2007
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Last Update Date | 06/13/2012
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Provider Practice Location Address
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Address Line | 38 BUCKINGHAM DR
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City | HOLBROOK
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State | NY
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Zip | 11741-2880
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Country | US
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Telephone | 631-738-0310
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Fax | 631-738-0311
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Provider Business Mailing Address
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Address Line | 38 BUCKINGHAM DR
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City | HOLBROOK
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State | NY
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Zip | 11741-2880
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Country | US
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Telephone | 631-738-0310
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Fax | 631-738-0311
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Authorized Official
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Title or Position | VICE PRESIDENT - CFO
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Name | MR. VINCENT JOSEPH LOPRETO
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Credential |
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Telephone | 631-738-0310
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | 32070
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License Number State | NY
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Taxonomy #3
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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 | NY
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