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General NPI Number Information
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NPI Number | 1457886707
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Entity Type | Organization
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Legal Business Name | MILLENNIUM CHILDREN'S THERAPY
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Dates
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Enumeration Date | 04/25/2017
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Last Update Date | 04/25/2017
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Provider Practice Location Address
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Address Line | 214 WALL ST SUITE 101
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City | HUNTINGTON
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State | NY
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Zip | 11743-7804
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Country | US
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Telephone | 631-421-3949
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Fax |
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Provider Business Mailing Address
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Address Line | 214 WALL ST SUITE 101
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City | HUNTINGTON
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State | NY
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Zip | 11743-7804
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Country | US
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Telephone | 631-421-3949
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Fax |
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Authorized Official
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Title or Position | SPEECH-LANGUAGE PATHOLOGIST
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Name | MRS. FAITH KATZMAN
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Credential | MS
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Telephone | 631-421-3949
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | 0119271
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License Number State | NY
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