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General NPI Number Information
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NPI Number | 1619230356
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Entity Type | Organization
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Legal Business Name | KIDZ THERAPY SERVICES
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Dates
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Enumeration Date | 06/18/2012
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Last Update Date | 06/18/2012
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Provider Practice Location Address
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Address Line | 300 GARDEN CITY PLZ SUITE 350
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City | GARDEN CITY
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State | NY
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Zip | 11530-3302
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Country | US
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Telephone | 516-747-9030
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Fax |
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Provider Business Mailing Address
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Address Line | 434 OCEANSIDE PKWY
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City | OCEANSIDE
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State | NY
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Zip | 11572-2558
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Country | US
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Telephone | 516-286-9255
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Fax |
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Authorized Official
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Title or Position | SPECIAL EDUCATION ITINERANT TEACHER
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Name | MISS NICOLE CHIARELLI
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Credential | B.S, M.S.
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Telephone | 516-747-9030
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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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