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General NPI Number Information
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NPI Number | 1225275613
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Entity Type | Organization
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Legal Business Name | HAWTHORNE FOUNDATION, INC.
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Dates
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Enumeration Date | 01/07/2009
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Last Update Date | 01/07/2009
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Provider Practice Location Address
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Address Line | 5 BRADHURST AVE
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City | HAWTHORNE
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State | NY
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Zip | 10532-2154
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Country | US
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Telephone | 914-592-8526
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Fax | 914-592-5321
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Provider Business Mailing Address
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Address Line | 5 BRADHURST AVE
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City | HAWTHORNE
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State | NY
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Zip | 10532-2154
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Country | US
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Telephone | 914-592-8526
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Fax | 914-592-5321
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | INDU BIDICHANDANI
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Credential |
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Telephone | 914-592-8526
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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 | NY
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