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General NPI Number Information
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NPI Number | 1386898674
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Entity Type | Organization
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Legal Business Name | CHILD EDUCATION OF WESTCHESTER,LLC
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Dates
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Enumeration Date | 11/12/2008
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Last Update Date | 11/12/2008
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Provider Practice Location Address
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Address Line | 1075 CENTRAL PARK AVE SUITE 409
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City | SCARSDALE
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State | NY
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Zip | 10583-3242
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Country | US
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Telephone | 914-722-6030
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Fax | 914-722-6037
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Provider Business Mailing Address
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Address Line | 1075 CENTRAL PARK AVE SUITE 409
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City | SCARSDALE
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State | NY
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Zip | 10583-3242
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Country | US
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Telephone | 914-722-6030
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Fax | 914-722-6037
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Authorized Official
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Title or Position | OWNER/OTA
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Name | MS. JOANNE LONGO DEROSA
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Credential | OTA
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Telephone | 914-722-6030
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 010538-1
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License Number State | NY
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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 | 64007240
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 013851-1
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number | 014985-1
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License Number State | NY
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