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General NPI Number Information
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NPI Number | 1699165894
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Entity Type | Organization
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Legal Business Name | ACHIEVE BEYOND
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Dates
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Enumeration Date | 01/27/2015
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Last Update Date | 01/27/2015
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Provider Practice Location Address
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Address Line | 2114 24TH ST
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City | ASTORIA
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State | NY
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Zip | 11105-3355
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Country | US
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Telephone | 917-843-7576
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Fax |
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Provider Business Mailing Address
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Address Line | 2114 24TH ST
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City | ASTORIA
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State | NY
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Zip | 11105-3355
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Country | US
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Telephone | 917-843-7576
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Fax |
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Authorized Official
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Title or Position | SPECIAL EDUCATION EARLY CHILDHOOD
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Name | DALIA GONZALEZ
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Credential |
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Telephone | 917-843-7576
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251300000X
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Taxonomy Name | Local Education Agency (LEA)
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License Number | 884381141
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License Number State | NY
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