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General NPI Number Information
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NPI Number | 1437632916
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Entity Type | Organization
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Legal Business Name | JAM G DEVELOPMENTAL SERVICES FOR YOUNG ONES INC.
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Dates
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Enumeration Date | 09/11/2018
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Last Update Date | 09/11/2018
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Provider Practice Location Address
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Address Line | 221 E 122ND ST APT 1303
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City | NEW YORK
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State | NY
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Zip | 10035-2051
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Country | US
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Telephone | 917-517-0643
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Fax |
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Provider Business Mailing Address
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Address Line | 221 E 122ND ST APT 1303
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City | NEW YORK
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State | NY
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Zip | 10035-2051
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Country | US
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Telephone | 917-517-0643
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Fax |
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Authorized Official
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Title or Position | SPECIAL INSTRUCTOR /ABA
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Name | MARIA-VICTORIA RAMOS
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Credential | MS ED
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Telephone | 917-517-0643
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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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