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General NPI Number Information
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NPI Number | 1629850904
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Entity Type | Organization
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Legal Business Name | TOTS AT PLAY LLC
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Dates
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Enumeration Date | 10/20/2023
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Last Update Date | 10/20/2023
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Provider Practice Location Address
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Address Line | 49 5TH AVE # 1097
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City | BROOKLYN
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State | NY
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Zip | 11217-2043
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Country | US
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Telephone | 917-653-5302
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Fax |
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Provider Business Mailing Address
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Address Line | 49 5TH AVE # 1097
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City | BROOKLYN
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State | NY
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Zip | 11217-2043
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Country | US
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Telephone | 917-653-5302
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Fax |
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Authorized Official
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Title or Position | EARLY INTERVENTION THERAPIST
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Name | MS. BERENICE I SALCEDO-CORREA
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Credential |
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Telephone | 917-653-5302
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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 |
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License Number State |
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