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General NPI Number Information
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NPI Number | 1598009649
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Entity Type | Individual
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Provider Name | ANNA VAINMAN M.S., ED., SP.ED.
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Gender | Female
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Dates
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Enumeration Date | 11/15/2012
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Last Update Date | 11/15/2012
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Provider Practice Location Address
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Address Line | 18 WINSTON ST
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City | STATEN ISLAND
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State | NY
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Zip | 10312-1341
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Country | US
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Telephone | 347-576-5161
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Fax | 347-630-7382
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Provider Business Mailing Address
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Address Line | 18 WINSTON ST
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City | STATEN ISLAND
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State | NY
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Zip | 10312-1341
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Country | US
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Telephone | 347-576-5161
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Fax | 347-630-7382
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 680488121
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 680487121
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License Number State | NY
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