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General NPI Number Information
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NPI Number | 1225389869
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Entity Type | Organization
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Legal Business Name | CHILDREN'S CORNER DAYCARE
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Dates
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Enumeration Date | 09/22/2012
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Last Update Date | 09/22/2012
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Provider Practice Location Address
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Address Line | 17319 69TH AVE
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City | FLUSHING
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State | NY
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Zip | 11365-3403
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Country | US
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Telephone | 718-358-8926
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Fax | 718-358-8926
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Provider Business Mailing Address
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Address Line | 17319 69TH AVE
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City | FLUSHING
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State | NY
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Zip | 11365-3403
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Country | US
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Telephone | 718-358-8926
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Fax | 718-358-8926
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Authorized Official
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Title or Position | HEAD ADMINISTRATOR
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Name | MR. SETH L. ZUCKER
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Credential |
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Telephone | 718-358-8926
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 016494
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 012970
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License Number State | NY
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