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General NPI Number Information
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NPI Number | 1720334766
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Entity Type | Organization
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Legal Business Name | SCOTT OPELL
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Dates
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Enumeration Date | 07/27/2012
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Last Update Date | 07/27/2012
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Provider Practice Location Address
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Address Line | 337 E 50TH ST 1B
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City | NEW YORK
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State | NY
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Zip | 10022-7949
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Country | US
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Telephone | 516-220-2006
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Fax |
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Provider Business Mailing Address
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Address Line | 337 E 50TH ST 1B
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City | NEW YORK
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State | NY
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Zip | 10022-7949
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Country | US
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Telephone | 516-220-2006
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Fax |
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Authorized Official
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Title or Position | ABA TEACHER
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Name | MR. SCOTT OPELL
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Credential | MS.ED
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Telephone | 516-220-2006
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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 | 183
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number | 1839
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License Number State | NY
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