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General NPI Number Information
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NPI Number | 1871937516
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Entity Type | Organization
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Legal Business Name | TENDER CARE FOR KIDS, INC
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Dates
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Enumeration Date | 04/24/2013
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Last Update Date | 04/24/2013
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Provider Practice Location Address
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Address Line | 16 JOYCE AVE
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City | MASSAPEQUA
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State | NY
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Zip | 11758-3726
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Country | US
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Telephone | 516-797-0006
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Fax |
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Provider Business Mailing Address
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Address Line | 16 JOYCE AVE
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City | MASSAPEQUA
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State | NY
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Zip | 11758-3726
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JEAN RICHARD SEVERIN
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Credential | ABD
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Telephone | 718-916-1892
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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 |
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License Number State | NY
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