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General NPI Number Information
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NPI Number | 1811381296
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Entity Type | Organization
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Legal Business Name | BUILDING BETTER MINDZ, INC.
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Dates
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Enumeration Date | 03/24/2015
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Last Update Date | 04/23/2015
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Provider Practice Location Address
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Address Line | 626 RXR PLZ
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City | UNIONDALE
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State | NY
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Zip | 11556-0626
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Country | US
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Telephone | 516-727-2294
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Fax |
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Provider Business Mailing Address
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Address Line | 626 RXR PLZ
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City | UNIONDALE
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State | NY
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Zip | 11556-0626
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Country | US
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Telephone | 516-727-2294
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Fax |
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Authorized Official
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Title or Position | SENIOR VICE PRESIDENT
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Name | MR. BENJAMIN BANGA
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Credential | PH.D.
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Telephone | 516-992-5125
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD1600X
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Taxonomy Name | Developmental Disabilities Clinic/Center
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License Number |
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License Number State |
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