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General NPI Number Information
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NPI Number | 1801158407
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Entity Type | Organization
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Legal Business Name | INSTITUTE FOR CHILDHOOD EDUCATION AND FAMILY SERVICE
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Dates
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Enumeration Date | 06/11/2012
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Last Update Date | 05/31/2013
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Provider Practice Location Address
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Address Line | 92-21 165TH STREET
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City | JAMAICA
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State | NY
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Zip | 11433-1103
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Country | US
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Telephone | 718-526-6125
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Fax | 718-526-9629
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Provider Business Mailing Address
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Address Line | 92-21 165TH STREET
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City | JAMAICA
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State | NY
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Zip | 11433-1103
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Country | US
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Telephone | 718-526-6125
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Fax | 718-526-9629
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MRS. YOLANDA VITULLI
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Credential | RN, BA, MA
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Telephone | 718-526-6125
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 02209676
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 02351875
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License Number State | NY
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