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General NPI Number Information
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NPI Number | 1821490640
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Entity Type | Organization
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Legal Business Name | METRO THERAPY,INC.
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Dates
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Enumeration Date | 09/24/2014
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Last Update Date | 09/24/2014
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Provider Practice Location Address
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Address Line | 5 YORKTOWN ROAD
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City | DIXHILLS
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State | NY
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Zip | 11746
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Country | US
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Telephone | 631-667-6644
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Fax |
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Provider Business Mailing Address
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Address Line | 5 YORKTOWN RD
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City | DIX HILLS
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State | NY
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Zip | 11746-6958
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Country | US
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Telephone | 631-667-6644
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Fax |
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Authorized Official
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Title or Position | SPECIAL EDUCATION TEACHER
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Name | MR. HOWARD LAWRENCE SOLOMON
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Credential |
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Telephone | 63136663876
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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 | 705069961
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License Number State | NY
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