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General NPI Number Information
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NPI Number | 1730502873
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Entity Type | Organization
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Legal Business Name | DEE'S 4 AWESOME KIDS INC
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Dates
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Enumeration Date | 01/25/2014
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Last Update Date | 01/25/2014
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Provider Practice Location Address
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Address Line | 263 PRAIRIE DR
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City | NORTH BABYLON
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State | NY
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Zip | 11703-1001
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Country | US
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Telephone | 917-344-0080
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Fax | 631-242-1005
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Provider Business Mailing Address
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Address Line | 263 PRAIRIE DR
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City | NORTH BABYLON
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State | NY
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Zip | 11703-1001
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Country | US
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Telephone | 917-344-0080
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Fax | 631-242-1005
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Authorized Official
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Title or Position | SPECIAL EDUCATION TEACHER
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Name | MS. DIONNE NICOLE BENNETT
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Credential | MSED
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Telephone | 917-344-0080
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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