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General NPI Number Information
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NPI Number | 1477199362
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Entity Type | Organization
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Legal Business Name | SMART EARLY LEARNING CHILDCARE, CORP.
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Dates
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Enumeration Date | 11/26/2019
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Last Update Date | 11/26/2019
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Provider Practice Location Address
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Address Line | 14609 LAKEWOOD AVE APT 2FLOOR
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City | JAMAICA
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State | NY
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Zip | 11435-5401
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Country | US
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Telephone | 718-807-4922
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Fax |
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Provider Business Mailing Address
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Address Line | 14609 LAKEWOOD AVE APT 2FLOOR
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City | JAMAICA
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State | NY
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Zip | 11435-5401
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Country | US
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Telephone | 718-807-4922
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Fax |
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Authorized Official
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Title or Position | TEACHER
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Name | SHATEVA SCOTT
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Credential | MS
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Telephone | 516-589-5794
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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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