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General NPI Number Information
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NPI Number | 1902569817
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Entity Type | Organization
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Legal Business Name | MEANINGFUL MOMENTS LLC
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Dates
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Enumeration Date | 10/18/2021
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Last Update Date | 10/18/2021
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Provider Practice Location Address
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Address Line | 763 WINDSOR RD
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City | UNIONDALE
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State | NY
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Zip | 11553-2327
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Country | US
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Telephone | 516-943-4822
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Fax |
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Provider Business Mailing Address
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Address Line | 446 E MEADOW AVE
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City | EAST MEADOW
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State | NY
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Zip | 11554-6000
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Country | US
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Telephone | 516-943-4822
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Fax |
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Authorized Official
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Title or Position | FOUNDER
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Name | SHARISE CHRISTIAN
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Credential | LMSW
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Telephone | 516-943-4822
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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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