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General NPI Number Information
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NPI Number | 1962710681
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Entity Type | Organization
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Legal Business Name | KIDS UNLIMITED PLLC
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Dates
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Enumeration Date | 09/15/2010
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Last Update Date | 09/15/2010
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Provider Practice Location Address
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Address Line | 2310 65TH ST
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City | BROOKLYN
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State | NY
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Zip | 11204-4088
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Country | US
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Telephone | 718-484-4802
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Fax | 718-484-4803
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Provider Business Mailing Address
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Address Line | 2310 65TH ST
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City | BROOKLYN
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State | NY
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Zip | 11204-4088
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Country | US
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Telephone | 718-484-4802
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Fax | 718-484-4803
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Authorized Official
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Title or Position | CLINICAL DIRECTOR
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Name | MR. STEVE KASHULSKY
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Credential | MS OTR/L
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Telephone | 718-484-4802
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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