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General NPI Number Information
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NPI Number | 1093968554
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Entity Type | Organization
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Legal Business Name | INFANT/TODDLER CONNECTIONS, LLC
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Dates
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Enumeration Date | 10/28/2008
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Last Update Date | 10/28/2008
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Provider Practice Location Address
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Address Line | 30 OUTLOOK DR
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City | NEW PALTZ
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State | NY
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Zip | 12561-3617
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Country | US
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Telephone | 845-255-2121
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Fax | 845-255-1177
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Provider Business Mailing Address
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Address Line | 30 OUTLOOK DR
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City | NEW PALTZ
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State | NY
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Zip | 12561-3617
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Country | US
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Telephone | 845-255-2121
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Fax | 845-255-1177
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MS. GAIL S COHEN
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Credential | MSED
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Telephone | 845-255-2121
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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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