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General NPI Number Information
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NPI Number | 1902356694
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Entity Type | Organization
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Legal Business Name | J D SOLUTIONS INC.
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Dates
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Enumeration Date | 10/06/2016
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Last Update Date | 10/06/2016
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Provider Practice Location Address
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Address Line | 29 WOODCREST RD
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City | HICKSVILLE
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State | NY
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Zip | 11801-6027
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Country | US
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Telephone | 917-577-1831
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Fax |
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Provider Business Mailing Address
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Address Line | 29 WOODCREST ROAD
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City | HICKSVILLE
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State | NY
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Zip | 11801
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Country | US
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Telephone | 917-577-1831
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. JOHN ANTHONY DELUCIA
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Credential | MS SPED
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Telephone | 917-577-1831
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 780794
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License Number State | NY
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