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General NPI Number Information
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NPI Number | 1013256395
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Entity Type | Organization
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Legal Business Name | ECHO DAY COMMUNITY
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Dates
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Enumeration Date | 02/06/2013
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Last Update Date | 02/06/2013
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Provider Practice Location Address
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Address Line | 322 PRYOR AVE
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City | TONAWANDA
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State | NY
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Zip | 14150-7431
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Country | US
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Telephone | 716-833-2851
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Fax |
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Provider Business Mailing Address
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Address Line | 190 MINERVA ST
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City | TONAWANDA
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State | NY
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Zip | 14150-3336
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Country | US
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Telephone | 716-833-2851
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Fax |
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Authorized Official
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Title or Position | PROGRAM DIRECTOR
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Name | KATHRYN T CORASANTI
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Credential | M.H.A.
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Telephone | 716-946-1122
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State |
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