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General NPI Number Information
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NPI Number | 1740434109
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Entity Type | Organization
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Legal Business Name | JGB EDUCATION SERVICES
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Dates
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Enumeration Date | 11/12/2008
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Last Update Date | 11/12/2008
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Provider Practice Location Address
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Address Line | 15 W 65TH ST 10TH FLOOR
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City | NEW YORK
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State | NY
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Zip | 10023-6601
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Country | US
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Telephone | 212-769-6200
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Fax | 212-769-7838
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Provider Business Mailing Address
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Address Line | 15 W 65TH ST 10TH FLOOR
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City | NEW YORK
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State | NY
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Zip | 10023-6601
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Country | US
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Telephone | 212-769-6200
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Fax | 212-769-7838
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Authorized Official
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Title or Position | PRESIDENT & CEO
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Name | DR. ALAN R MORSE
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Credential |
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Telephone | 212-769-6215
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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 | 17500
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License Number State | NY
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