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General NPI Number Information
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NPI Number | 1467828145
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Entity Type | Organization
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Legal Business Name | KSCHWETZ PROFESSIONAL SERVICES INC
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Dates
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Enumeration Date | 08/17/2015
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Last Update Date | 08/17/2015
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Provider Practice Location Address
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Address Line | 2417 JERICHO TPKE SUITE 364
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City | GARDEN CITY PARK
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State | NY
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Zip | 11040-4710
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Country | US
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Telephone | 917-564-4309
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Fax |
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Provider Business Mailing Address
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Address Line | 2417 JERICHO TPKE SUITE 364
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City | GARDEN CITY PARK
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State | NY
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Zip | 11040-4710
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Country | US
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Telephone | 917-564-4309
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Fax |
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Authorized Official
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Title or Position | EARLY INTERVENTION
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Name | MS. KERRYANN M SCHWETZ
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Credential | MSED, ABA
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Telephone | 917-564-4309
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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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