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General NPI Number Information
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NPI Number | 1376353953
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Entity Type | Organization
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Legal Business Name | LITTLE MILESTONES SI THERAPY LLC
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Dates
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Enumeration Date | 01/07/2025
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Last Update Date | 03/04/2025
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Provider Practice Location Address
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Address Line | 7 HAMPSHIRE DR
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City | WASHINGTONVILLE
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State | NY
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Zip | 10992-1268
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Country | US
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Telephone | 917-957-7284
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Fax |
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Provider Business Mailing Address
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Address Line | 7 HAMPSHIRE DR
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City | WASHINGTONVILLE
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State | NY
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Zip | 10992-1268
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Country | US
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Telephone | 917-957-7284
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Fax |
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Authorized Official
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Title or Position | SPECIAL EDUCATION TEACHER
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Name | MS. SOPHIA HENRY
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Credential |
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Telephone | 917-957-7284
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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 |
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