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General NPI Number Information
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NPI Number | 1740524685
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Entity Type | Individual
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Provider Name | ALENA SIYUNOVA MS.ED
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Gender | Female
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Dates
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Enumeration Date | 11/15/2012
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Last Update Date | 11/15/2012
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Provider Practice Location Address
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Address Line | 10860 66TH AVENUE # B
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City | FOREST HILLS
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State | NY
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Zip | 11375-2242
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Country | US
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Telephone | 718-724-4883
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Fax | 718-530-6613
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Provider Business Mailing Address
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Address Line | 10860 66TH AVE # B
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City | FOREST HILLS
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State | NY
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Zip | 11375-2242
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Country | US
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Telephone | 718-724-4883
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Fax | 718-530-6613
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 2295133
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License Number State | NY
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