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General NPI Number Information
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NPI Number | 1881465136
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Entity Type | Organization
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Legal Business Name | EARLY INTERACTIONS
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Dates
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Enumeration Date | 01/15/2024
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Last Update Date | 01/15/2024
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Provider Practice Location Address
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Address Line | 1150 PORTION RD STE 11
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City | HOLTSVILLE
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State | NY
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Zip | 11742-1074
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Country | US
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Telephone | 631-320-3113
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Fax |
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Provider Business Mailing Address
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Address Line | 1150 PORTION RD STE 11
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City | HOLTSVILLE
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State | NY
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Zip | 11742-1074
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Country | US
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Telephone | 631-320-3113
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Fax |
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Authorized Official
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Title or Position | SPECIAL EDUCATOR
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Name | LISA ANDREE
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Credential | MS, ED
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Telephone | 631-767-0709
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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 |
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