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General NPI Number Information
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NPI Number | 1952806747
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Entity Type | Organization
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Legal Business Name | LOOK WHAT I CAN DO LEARNING CENTER
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Dates
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Enumeration Date | 03/26/2018
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Last Update Date | 08/17/2018
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Provider Practice Location Address
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Address Line | 5600 KENNEDY BLVD W STE 110
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City | WEST NEW YORK
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State | NJ
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Zip | 07093-1256
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Country | US
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Telephone | 201-553-2200
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Fax | 201-603-6610
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Provider Business Mailing Address
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Address Line | 5600 KENNEDY BLVD W STE 110
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City | WEST NEW YORK
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State | NJ
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Zip | 07093-1256
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Country | US
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Telephone | 201-553-2200
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Fax | 201-603-6610
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Authorized Official
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Title or Position | SPECIAL EDUCATION TEACHER
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Name | MS. THERESA MARTINEZ
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Credential | MS ED
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Telephone | 201-470-0883
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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 | 540983
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License Number State | NY
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