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General NPI Number Information
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NPI Number | 1861074213
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Entity Type | Organization
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Legal Business Name | DRAGONTREE READING CENTER LLC
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Dates
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Enumeration Date | 04/26/2021
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Last Update Date | 04/26/2021
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Provider Practice Location Address
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Address Line | 269 ROUTE 31 SOUTH
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City | WASHINGTON
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State | NJ
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Zip | 07882
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Country | US
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Telephone | 908-752-3191
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Fax |
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Provider Business Mailing Address
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Address Line | 2 HILLSIDE TER
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City | WASHINGTON
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State | NJ
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Zip | 07882-4205
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Country | US
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Telephone | 908-752-3191
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. HOLLY L GUIDO
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Credential | MA ED.
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Telephone | 908-752-3191
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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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 | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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