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General NPI Number Information
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NPI Number | 1730671496
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Entity Type | Organization
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Legal Business Name | OUR KIDS PLACE COUNTRY DAY, INC.
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Dates
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Enumeration Date | 05/30/2018
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Last Update Date | 05/30/2018
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Provider Practice Location Address
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Address Line | 1346 BROADWAY
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City | HEWLETT
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State | NY
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Zip | 11557-1359
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Country | US
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Telephone | 516-569-5999
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Fax | 516-706-4935
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Provider Business Mailing Address
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Address Line | 1346 BROADWAY
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City | HEWLETT
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State | NY
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Zip | 11557-1359
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Country | US
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Telephone | 516-569-5999
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Fax | 516-706-4935
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Authorized Official
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Title or Position | DIRECTOR
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Name | LORRAINE PETERS
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Credential |
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Telephone | 516-569-5999
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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 | 714893
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License Number State | NY
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