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General NPI Number Information
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NPI Number | 1205297009
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Entity Type | Organization
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Legal Business Name | BIG N LITTLE CORP
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Dates
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Enumeration Date | 03/08/2016
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Last Update Date | 07/30/2024
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Provider Practice Location Address
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Address Line | 875 E 14TH ST
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City | BROOKLYN
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State | NY
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Zip | 11230-2978
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Country | US
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Telephone | 732-759-0715
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Fax |
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Provider Business Mailing Address
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Address Line | 1326 E 10TH ST
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City | BROOKLYN
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State | NY
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Zip | 11230-5754
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Country | US
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Telephone | 718-787-1160
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Fax | 718-307-6406
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Authorized Official
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Title or Position | OWNER
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Name | MOSHE KANNER
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Credential |
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Telephone | 718-787-1160
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 273Y00000X
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Taxonomy Name | Rehabilitation Hospital Unit
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License Number | 1326372202
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 019884-1
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 273Y00000X
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Taxonomy Name | Rehabilitation Hospital Unit
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License Number | 1336473891
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License Number State | NY
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