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General NPI Number Information
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NPI Number | 1467826834
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Entity Type | Organization
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Legal Business Name | FIRST PRAISE KIDS SERVICES INC
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Dates
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Enumeration Date | 11/21/2015
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Last Update Date | 11/21/2015
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Provider Practice Location Address
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Address Line | 1834 DOGWOOD DR YORKTOWN HEIGHTS
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City | YORKTOWN HEIGHTS
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State | NY
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Zip | 10598-5602
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Country | US
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Telephone | 914-434-3434
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Fax |
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Provider Business Mailing Address
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Address Line | 1834 DOGWOOD DR YORKTOWN HEIGHTS
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City | YORKTOWN HEIGHTS
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State | NY
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Zip | 10598-5602
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Country | US
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Telephone | 914-434-3434
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Fax |
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Authorized Official
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Title or Position | SPECIAL EDUCATORE
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Name | MS. SHERESE ANTOINETTE POW
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Credential | MSED
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Telephone | 914-434-3434
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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 | 691029
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License Number State | NY
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