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General NPI Number Information
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NPI Number | 1770913154
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Entity Type | Organization
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Legal Business Name | BABY STEPS EARLY INTERVENTION SERVICES, INC
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Dates
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Enumeration Date | 11/20/2013
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Last Update Date | 11/20/2013
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Provider Practice Location Address
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Address Line | 493 MANHATTAN AVE
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City | NEW YORK
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State | NY
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Zip | 10027-5237
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Country | US
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Telephone | 917-808-7041
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Fax |
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Provider Business Mailing Address
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Address Line | 493 MANHATTAN AVE
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City | NEW YORK
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State | NY
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Zip | 10027-5237
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Country | US
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Telephone | 917-808-7041
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Fax |
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Authorized Official
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Title or Position | CEO/ DIRECTOR
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Name | MS. LYRIS B CANTON
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Credential | BS, MA
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Telephone | 917-808-7041
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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 | 004041-1
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License Number State | NY
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