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General NPI Number Information
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NPI Number | 1053175984
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Entity Type | Organization
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Legal Business Name | TWINS TOO LLC.
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Dates
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Enumeration Date | 02/12/2024
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Last Update Date | 02/12/2024
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Provider Practice Location Address
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Address Line | 25606 FRANCIS LEWIS BLVD
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City | ROSEDALE
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State | NY
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Zip | 11422-3333
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Country | US
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Telephone | 347-574-5090
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Fax |
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Provider Business Mailing Address
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Address Line | 25606 FRANCIS LEWIS BLVD
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City | ROSEDALE
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State | NY
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Zip | 11422-3333
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Country | US
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Telephone | 347-574-5090
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. SHERETTE SHANELLE WRIGHT
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Credential | MS ED.
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Telephone | 347-574-5090
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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 |
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License Number State |
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