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General NPI Number Information
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NPI Number | 1639540545
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Entity Type | Organization
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Legal Business Name | KIDABILITIES, LLC
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Dates
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Enumeration Date | 10/19/2015
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Last Update Date | 12/14/2015
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Provider Practice Location Address
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Address Line | 1 SKYLINE DR SUITE 298
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City | HAWTHORNE
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State | NY
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Zip | 10532-2157
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Country | US
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Telephone | 914-347-5990
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Fax | 914-347-5236
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Provider Business Mailing Address
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Address Line | 1 SKYLINE DR
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City | HAWTHORNE
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State | NY
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Zip | 10532-2157
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Country | US
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Telephone | 914-347-5990
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Fax | 914-347-5236
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Authorized Official
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Title or Position | DIRECTOR
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Name | MS. SUE SEILER
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Credential | OT/L
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Telephone | 914-347-5990
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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 | 010523
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License Number State | NY
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