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General NPI Number Information
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NPI Number | 1437668936
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Entity Type | Organization
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Legal Business Name | WEE WONDERS, INC
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Dates
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Enumeration Date | 09/27/2017
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Last Update Date | 09/27/2017
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Provider Practice Location Address
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Address Line | 434 WEST 47TH STREET SUITE 3W
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City | NEW YORK
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State | NY
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Zip | 10036
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Country | US
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Telephone | 917-838-3918
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Fax |
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Provider Business Mailing Address
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Address Line | 434 WEST 47TH STREET SUITE 3W
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City | NEW YORK
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State | NY
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Zip | 10036
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Country | US
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Telephone | 917-838-3918
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. KERRY ANN CASHIN
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Credential | PT
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Telephone | 917-838-3918
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 015880
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License Number State | NY
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