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General NPI Number Information
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NPI Number | 1548890148
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Entity Type | Organization
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Legal Business Name | YOUNIQUE SERVICES
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Dates
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Enumeration Date | 01/22/2020
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Last Update Date | 08/24/2020
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Provider Practice Location Address
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Address Line | 10231 92ND AVE
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City | RICHMOND HILL
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State | NY
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Zip | 11418-2906
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Country | US
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Telephone | 718-441-8267
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Fax |
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Provider Business Mailing Address
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Address Line | 10231 92ND AVE
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City | RICHMOND HILL
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State | NY
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Zip | 11418-2906
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Country | US
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Telephone | 718-441-8267
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MARIA S VICIOSO
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Credential | MSED
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Telephone | 718-441-8267
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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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Taxonomy #2
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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