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General NPI Number Information
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NPI Number | 1821529322
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Entity Type | Organization
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Legal Business Name | CIFUENTES CHILD DEVELOPMENT, CORP.
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Dates
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Enumeration Date | 03/26/2017
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Last Update Date | 04/24/2024
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Provider Practice Location Address
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Address Line | 9962 211TH PL
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City | QUEENS VILLAGE
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State | NY
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Zip | 11429-1145
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Country | US
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Telephone | 516-288-5012
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Fax | 718-217-5159
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Provider Business Mailing Address
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Address Line | 9962 211TH PL
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City | QUEENS VILLAGE
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State | NY
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Zip | 11429-1145
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Country | US
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Telephone | 516-288-5012
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Fax | 718-217-5159
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Authorized Official
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Title or Position | SPECIAL EDUCATION PROVIDE
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Name | SANDRA CIFUENTES
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Credential | MSE
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Telephone | 516-288-5012
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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 | 1076683162
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License Number State | NY
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