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General NPI Number Information
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NPI Number | 1700325206
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Entity Type | Organization
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Legal Business Name | OME EARLY INTERVENTION SERVICES INC
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Dates
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Enumeration Date | 02/16/2017
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Last Update Date | 02/16/2017
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Provider Practice Location Address
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Address Line | 4 KNOLL VW
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City | OSSINING
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State | NY
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Zip | 10562-5944
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Country | US
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Telephone | 347-415-7681
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Fax |
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Provider Business Mailing Address
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Address Line | 4 KNOLL VW
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City | OSSINING
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State | NY
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Zip | 10562-5944
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Country | US
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Telephone | 347-415-7681
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Fax |
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Authorized Official
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Title or Position | SPECIAL INSTRUCTOR
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Name | MRS. SARAH OVIGWE OMUSI
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Credential | SPED
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Telephone | 347-415-7681
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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 | 607727
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License Number State | NY
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