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NPI 1477925220

NPI 1477925220 : D&M SPECIAL SERVICES,INC : QUEENS VILLAGE, NY

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General NPI Number Information
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    NPI Number           |    1477925220
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    Entity Type          |    Organization 
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    Legal Business Name  |    D&M SPECIAL SERVICES,INC 
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Dates
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    Enumeration Date     |    10/20/2015
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    Last Update Date     |    10/20/2015
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Provider Practice Location Address
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    Address Line         |    8557 211TH ST 
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    City                 |    QUEENS VILLAGE
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    State                |    NY
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    Zip                  |    11427-1315
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    Country              |    US
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    Telephone            |    718-908-9290
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    8557 211TH ST 
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    City                 |    QUEENS VILLAGE
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    State                |    NY
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    Zip                  |    11427-1315
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    Country              |    US
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    Telephone            |    718-908-9290
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    Fax                  |    
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Authorized Official
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    Title or Position    |    DIRECTOR
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    Name                 |     DIANA  MOZNER 
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    Credential           |    MSED
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    Telephone            |    718-908-9290
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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       |    269148031
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    License Number State |    NY
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