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General NPI Number Information
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NPI Number | 1821868217
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Entity Type | Organization
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Legal Business Name | TINY TOES SERVICE COORDINATION, LLC
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Dates
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Enumeration Date | 01/05/2024
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Last Update Date | 01/08/2024
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Provider Practice Location Address
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Address Line | 2070 EDITH PL
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City | MERRICK
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State | NY
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Zip | 11566-3305
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Country | US
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Telephone | 516-366-9625
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Fax |
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Provider Business Mailing Address
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Address Line | 2070 EDITH PL
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City | MERRICK
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State | NY
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Zip | 11566-3305
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Country | US
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Telephone | 516-366-9625
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Fax |
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Authorized Official
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Title or Position | CO-CEO
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Name | AMERVIR RANA
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Credential | RN
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Telephone | 516-366-9625
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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