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General NPI Number Information
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NPI Number | 1831530401
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Entity Type | Organization
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Legal Business Name | PRECIOUS FIRST STEP CHILD DEVELOPMENT CENTER, INC.
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Dates
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Enumeration Date | 07/11/2013
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Last Update Date | 02/21/2020
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Provider Practice Location Address
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Address Line | 14217 129TH AVE
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City | JAMAICA
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State | NY
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Zip | 11436-1720
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Country | US
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Telephone | 718-308-7605
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Fax |
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Provider Business Mailing Address
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Address Line | 14217 129TH AVE
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City | JAMAICA
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State | NY
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Zip | 11436-1720
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Country | US
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Telephone | 718-308-7605
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Fax |
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Authorized Official
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Title or Position | PRESIDENT OF THE ORGANIZATION
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Name | MR. EKE EME
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Credential |
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Telephone | 347-238-1604
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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 | 533460
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License Number State | NY
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