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General NPI Number Information
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NPI Number | 1578871240
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Entity Type | Organization
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Legal Business Name | MILESTONES INTEGRATED SERVICES O.T., P.T., R.N., S.L.P.
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Dates
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Enumeration Date | 09/16/2010
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Last Update Date | 09/16/2010
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Provider Practice Location Address
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Address Line | 37 WOODLAKE DR
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City | THIELLS
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State | NY
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Zip | 10984-1307
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Country | US
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Telephone | 201-707-7634
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Fax |
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Provider Business Mailing Address
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Address Line | 37 WOODLAKE DR
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City | THIELLS
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State | NY
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Zip | 10984-1307
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Country | US
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Telephone | 201-707-7634
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Fax |
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Authorized Official
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Title or Position | CEO/PROGRAM DIRECTOR
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Name | MRS. ANNE MARIE PITRELLI
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Credential | MSPT
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Telephone | 201-707-7634
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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 | NY
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