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General NPI Number Information
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NPI Number | 1063995926
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Entity Type | Organization
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Legal Business Name | GENUED CONSULTING LLC
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Dates
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Enumeration Date | 09/07/2018
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Last Update Date | 09/07/2018
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Provider Practice Location Address
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Address Line | 11620 198TH ST
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City | SAINT ALBANS
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State | NY
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Zip | 11412-3244
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Country | US
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Telephone | 917-753-7763
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Fax |
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Provider Business Mailing Address
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Address Line | 11620 198TH ST
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City | SAINT ALBANS
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State | NY
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Zip | 11412-3244
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Country | US
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Telephone | 917-753-7763
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DIONNE RAYMOND
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Credential |
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Telephone | 917-753-7763
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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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