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General NPI Number Information
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NPI Number | 1588015721
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Entity Type | Organization
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Legal Business Name | COMPACT LEARNING SERVICES
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Dates
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Enumeration Date | 06/29/2016
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Last Update Date | 06/29/2016
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Provider Practice Location Address
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Address Line | 9609 SPRINGFIELD BLVD STE 201
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City | QUEENS VILLAGE
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State | NY
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Zip | 11429-1360
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Country | US
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Telephone | 718-749-5767
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Fax | 347-894-8690
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Provider Business Mailing Address
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Address Line | 9609 SPRINGFIELD BLVD STE 201
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City | QUEENS VILLAGE
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State | NY
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Zip | 11429-1360
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Country | US
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Telephone | 718-749-5767
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Fax | 347-894-8690
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Authorized Official
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Title or Position | CEO
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Name | MS. CHARMAINE WILKINSON
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Credential | MS. ED
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Telephone | 718-749-5767
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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 | 252Y00000
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License Number State | NY
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