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General NPI Number Information
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NPI Number | 1235433061
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Entity Type | Organization
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Legal Business Name | COMFORT NURTURINGMINDS POSSIBILITIES OF LEARNING LTD
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Dates
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Enumeration Date | 01/09/2011
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Last Update Date | 01/09/2011
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Provider Practice Location Address
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Address Line | 564 BEACH 69TH ST
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City | ARVERNE
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State | NY
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Zip | 11692-1321
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Country | US
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Telephone | 646-387-2033
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Fax |
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Provider Business Mailing Address
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Address Line | 564 BEACH 69TH ST
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City | ARVERNE
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State | NY
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Zip | 11692-1321
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Country | US
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Telephone | 646-387-2033
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. JOSEPHINE AGUOJI
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Credential | ED.D IN SPECIAL EDUC
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Telephone | 718-634-1135
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 222Q00000X
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Taxonomy Name | Developmental Therapist
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License Number | 695019
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License Number State | NY
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