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General NPI Number Information
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NPI Number | 1306091681
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Entity Type | Organization
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Legal Business Name | CARMEN ANDINO INC.
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Dates
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Enumeration Date | 11/30/2008
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Last Update Date | 11/30/2008
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Provider Practice Location Address
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Address Line | 300 BLACK MEADOW RD
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City | CHESTER
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State | NY
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Zip | 10918-2227
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Country | US
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Telephone | 845-325-6348
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Fax | 845-610-3803
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Provider Business Mailing Address
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Address Line | 300 BLACK MEADOW RD
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City | CHESTER
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State | NY
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Zip | 10918-2227
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Country | US
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Telephone | 845-325-6348
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Fax | 845-610-3803
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Authorized Official
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Title or Position | BILINGUAL/SPECIAL EDUCATION TEACHER
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Name | MRS. CARMEN MILAGROS ANDINO
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Credential | MSSED
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Telephone | 845-325-6348
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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 | 124609107
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License Number State | NY
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