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General NPI Number Information
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NPI Number | 1053932632
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Entity Type | Organization
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Legal Business Name | FIRST CHOICE CHILDRENS SERVICES
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Dates
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Enumeration Date | 05/05/2020
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Last Update Date | 08/21/2020
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Provider Practice Location Address
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Address Line | 14 DAVID WAY
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City | EAST PATCHOGUE
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State | NY
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Zip | 11772-4598
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Country | US
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Telephone | 631-767-5386
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Fax |
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Provider Business Mailing Address
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Address Line | 14 DAVID WAY
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City | EAST PATCHOGUE
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State | NY
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Zip | 11772-4598
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Country | US
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Telephone | 631-944-2796
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | LISA VALLE
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Credential |
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Telephone | 631-944-2796
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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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 | 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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