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General NPI Number Information
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NPI Number | 1871466268
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Entity Type | Individual
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Provider Name | MR. JAMES CORRIGAN
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Gender | Male
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Dates
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Enumeration Date | 09/24/2025
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Last Update Date | 09/24/2025
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Provider Practice Location Address
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Address Line | 600 NEWBRIDGE RD
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City | EAST MEADOW
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State | NY
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Zip | 11554-5215
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Country | US
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Telephone | 516-937-1397
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Fax |
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Provider Business Mailing Address
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Address Line | 2 JOAN LN
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City | MASSAPEQUA PARK
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State | NY
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Zip | 11762-1107
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Country | US
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Telephone | 646-436-5013
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 000204
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License Number State | NY
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