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General NPI Number Information
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NPI Number | 1629312327
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Entity Type | Organization
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Legal Business Name | ANOTHER YOUNG SCHOLAR TUTORING, LLC
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Dates
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Enumeration Date | 11/19/2012
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Last Update Date | 11/19/2012
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Provider Practice Location Address
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Address Line | 246 FELLER DR
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City | CENTRAL ISLIP
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State | NY
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Zip | 11722-1214
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Country | US
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Telephone | 718-877-8369
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Fax |
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Provider Business Mailing Address
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Address Line | 246 FELLER DR
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City | CENTRAL ISLIP
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State | NY
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Zip | 11722-1214
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TYNEIK DUNCAN
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Credential |
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Telephone | 718-877-8369
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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 | 742235
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License Number State | NY
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