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General NPI Number Information
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NPI Number | 1295509008
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Entity Type | Organization
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Legal Business Name | SUCCESS IN ENGLISH, LLC
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Dates
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Enumeration Date | 11/13/2023
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Last Update Date | 11/13/2023
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Provider Practice Location Address
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Address Line | 133-09 143RD ST SOUTH OZONE PARK
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City | QUEENS
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State | NY
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Zip | 11436
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Country | US
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Telephone | 718-427-1205
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Fax |
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Provider Business Mailing Address
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Address Line | 11811 SUTPHIN BLVD UNIT 98221
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City | JAMAICA
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State | NY
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Zip | 11434-2061
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Country | US
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Telephone | 718-427-1205
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Fax |
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Authorized Official
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Title or Position | SI/ABA THERAPIST
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Name | DANA M WALES
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Credential | B.A
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Telephone | 718-427-1205
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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