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General NPI Number Information
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NPI Number | 1962848754
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Entity Type | Organization
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Legal Business Name | OMEGA KIDS INC.
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Dates
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Enumeration Date | 05/20/2013
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Last Update Date | 05/20/2013
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Provider Practice Location Address
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Address Line | 65 ORIENTAL BLVD APT. 8K
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City | BROOKLYN
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State | NY
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Zip | 11235-4945
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Country | US
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Telephone | 917-605-8336
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Fax |
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Provider Business Mailing Address
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Address Line | 65 ORIENTAL BLVD APT. 8K
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City | BROOKLYN
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State | NY
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Zip | 11235-4945
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | ZARUHI DEMIRTSHYAN
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Credential |
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Telephone | 917-605-8336
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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 | 660751122
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License Number State | NY
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