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General NPI Number Information
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NPI Number | 1003839366
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Entity Type | Organization
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Legal Business Name | SCARSDALE EDGEMONT FAMILY COUNSELING SERVICE
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Dates
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Enumeration Date | 07/26/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 14 HARWOOD CT SUITE 405
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City | SCARSDALE
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State | NY
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Zip | 10583-4121
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Country | US
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Telephone | 914-723-3281
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Fax | 914-725-6046
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Provider Business Mailing Address
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Address Line | 14 HARWOOD CT SUITE 405
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City | SCARSDALE
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State | NY
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Zip | 10583-4121
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Country | US
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Telephone | 914-723-3281
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Fax | 914-725-6046
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. GERALDINE GREENE
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Credential | A.C.S.W.R
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Telephone | 914-723-3281
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | R0087341
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License Number State | NY
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