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NPI 1669680674

NPI 1669680674 : QUEENS PARENT RESOURCE CENTER, INC. : QUEENS VILLAGE, NY

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General NPI Number Information
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    NPI Number           |    1669680674
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    Entity Type          |    Organization 
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    Legal Business Name  |    QUEENS PARENT RESOURCE CENTER, INC. 
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Dates
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    Enumeration Date     |    05/21/2007
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    Last Update Date     |    08/22/2020
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Provider Practice Location Address
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    Address Line         |    11240 FRANCIS LEWIS BLVD 
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    City                 |    QUEENS VILLAGE
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    State                |    NY
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    Zip                  |    11429-2235
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    Country              |    US
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    Telephone            |    718-736-8690
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    Fax                  |    718-736-8696
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Provider Business Mailing Address
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    Address Line         |    11240 FRANCIS LEWIS BLVD 
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    City                 |    QUEENS VILLAGE
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    State                |    NY
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    Zip                  |    11429-2235
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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    |    EXECUTIVE DIRECTOR
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    Name                 |    MR. JAMES  MAGALEE 
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    Credential           |    
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    Telephone            |    718-736-8690
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251C00000X
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    Taxonomy Name        |    Developmentally Disabled Services Day Training Agency
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    License Number       |    
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    License Number State |    
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