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General NPI Number Information
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NPI Number | 1639995822
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Entity Type | Organization
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Legal Business Name | KIDS CONNECT USA INC
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Dates
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Enumeration Date | 12/03/2024
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Last Update Date | 12/03/2024
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Provider Practice Location Address
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Address Line | 710 FOREST AVE
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City | STATEN ISLAND
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State | NY
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Zip | 10310-2520
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Country | US
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Telephone | 718-702-3340
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Fax |
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Provider Business Mailing Address
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Address Line | 24 JESSICA LN
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City | STATEN ISLAND
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State | NY
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Zip | 10309-1968
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Country | US
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Telephone | 718-702-3340
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | PIERA SANTANGELO
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Credential |
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Telephone | 718-702-3340
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM3000X
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Taxonomy Name | Medically Fragile Infants and Children Day Care
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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