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General NPI Number Information
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NPI Number | 1164784633
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Entity Type | Organization
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Legal Business Name | SHREE RAJ SERVICES INC.
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Dates
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Enumeration Date | 06/11/2012
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Last Update Date | 06/11/2012
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Provider Practice Location Address
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Address Line | 2417 JERICHO TPKE #387
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City | GARDEN CITY PARK
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State | NY
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Zip | 11040-4710
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Country | US
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Telephone | 646-696-6129
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Fax |
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Provider Business Mailing Address
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Address Line | 2417 JERICHO TPKE #387
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City | GARDEN CITY PARK
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State | NY
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Zip | 11040-4710
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Country | US
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Telephone | 646-696-6129
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Fax |
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Authorized Official
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Title or Position | SPECIAL EDUCATION PROVIDER
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Name | RASHMIKA PATEL
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Credential | M.S. E.D.
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Telephone | 646-696-6129
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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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