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General NPI Number Information
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NPI Number | 1487721726
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Entity Type | Organization
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Legal Business Name | KENNEDY CHILDREN'S CENTER
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Dates
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Enumeration Date | 11/30/2006
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Last Update Date | 11/19/2018
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Provider Practice Location Address
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Address Line | 2212 3RD AVE. 2ND FLR.
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City | NEW YORK
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State | NY
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Zip | 10035-5998
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Country | US
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Telephone | 212-988-9500
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Fax | 212-831-3905
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Provider Business Mailing Address
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Address Line | 2212 3RD AVE. 2ND FLR.
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City | NEW YORK
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State | NY
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Zip | 10035-5998
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Country | US
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Telephone | 212-988-9500
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Fax | 212-831-3905
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. JEANNE ALTER
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Credential |
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Telephone | 212-988-9500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD1600X
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Taxonomy Name | Developmental Disabilities Clinic/Center
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License Number |
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License Number State |
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