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General NPI Number Information
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NPI Number | 1083007546
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Entity Type | Organization
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Legal Business Name | WYANDANCH SCHOOL DISTRICT
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Dates
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Enumeration Date | 03/09/2015
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Last Update Date | 03/09/2015
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Provider Practice Location Address
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Address Line | 792 MOUNT AVE
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City | WYANDANCH
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State | NY
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Zip | 11798-4430
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Country | US
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Telephone | 631-870-0055
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Fax |
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Provider Business Mailing Address
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Address Line | 1445 DR MARTIN LUTHER KING JR BLVD
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City | WYANDANCH
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State | NY
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Zip | 11798-3900
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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 | DIRECTOR OF SPECIAL EDUCATION
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Name | JANICE PATTERSON
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Credential |
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Telephone | 631-870-0500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 082744
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License Number State | NY
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