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General NPI Number Information
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NPI Number | 1043379159
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Entity Type | Organization
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Legal Business Name | ALBANY COUNTY DEPARTMENT FOR CHILDREN YOUTH AND FAMILIES
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Dates
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Enumeration Date | 12/06/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 175 GREEN STREET
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City | ALBANY
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State | NY
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Zip | 12202-2011
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Country | US
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Telephone | 518-447-4550
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Fax | 518-447-2045
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Provider Business Mailing Address
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Address Line | 112 STATE STREET
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City | ALBANY
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State | NY
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Zip | 12207
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Country | US
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Telephone | 518-447-7500
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Fax | 518-447-7766
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Authorized Official
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Title or Position | BUDGET ANALYST
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Name | KELLIE E ROBERTS
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Credential |
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Telephone | 518-447-2023
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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