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General NPI Number Information
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NPI Number | 1568725687
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Entity Type | Organization
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Legal Business Name | EARLY CHILDHOIOD ASSOCIATES
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Dates
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Enumeration Date | 06/22/2012
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Last Update Date | 06/22/2012
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Provider Practice Location Address
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Address Line | 825 W END AVE SUITE 1A
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City | NEW YORK
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State | NY
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Zip | 10025-5349
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Country | US
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Telephone | 212-662-9200
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Fax |
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Provider Business Mailing Address
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Address Line | 91 LEE PL
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City | BERGENFIELD
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State | NJ
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Zip | 07621-4218
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Country | US
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Telephone | 201-357-5912
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Fax |
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Authorized Official
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Title or Position | SEIT
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Name | SARA HANAUER
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Credential |
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Telephone | 201-357-5912
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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 | 2132986
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License Number State | NY
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