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General NPI Number Information
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NPI Number | 1518229780
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Entity Type | Organization
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Legal Business Name | LOS NINOS SERVICES
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Dates
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Enumeration Date | 06/13/2012
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Last Update Date | 06/13/2012
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Provider Practice Location Address
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Address Line | 535 8TH AVE
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City | NEW YORK
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State | NY
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Zip | 10018-4305
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Country | US
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Telephone | 212-927-9233
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Fax |
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Provider Business Mailing Address
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Address Line | 55 COOPER ST APT 3D
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City | NEW YORK
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State | NY
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Zip | 10034-3046
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Country | US
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Telephone | 917-270-6824
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Fax |
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Authorized Official
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Title or Position | SPECIAL EDUCATION THERAPIST
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Name | MS. YADIRA CRUZ
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Credential |
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Telephone | 917-270-6824
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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 | 2242301
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License Number State | NY
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