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General NPI Number Information
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NPI Number | 1568616910
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Entity Type | Organization
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Legal Business Name | ACCELERATED CHILDHOOD EDUCATION
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Dates
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Enumeration Date | 11/12/2008
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Last Update Date | 06/11/2012
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Provider Practice Location Address
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Address Line | 382 MAIN ST
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City | PORT WASHINGTON
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State | NY
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Zip | 11050-3136
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Country | US
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Telephone | 516-767-7216
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Fax | 516-767-0129
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Provider Business Mailing Address
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Address Line | 382 MAIN ST
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City | PORT WASHINGTON
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State | NY
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Zip | 11050-3136
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Country | US
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Telephone | 516-767-7216
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Fax | 516-767-0129
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Authorized Official
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Title or Position | DIRECTOR OF ABA PROGRAMING
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Name | DR. GARY STEVEN HTIZIG
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Credential | M.D.
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Telephone | 516-767-7216
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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Taxonomy #2
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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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