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General NPI Number Information
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NPI Number | 1104161850
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Entity Type | Organization
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Legal Business Name | NORTHEAST PARENT AND CHILD SOCIETY
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Dates
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Enumeration Date | 12/06/2012
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Last Update Date | 12/06/2012
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Provider Practice Location Address
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Address Line | 327 ABBOTTSFORD ROAD
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City | SCHENECTADY
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State | NY
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Zip | 12304
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Country | US
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Telephone | 518-372-9423
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Fax | 518-374-3951
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Provider Business Mailing Address
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Address Line | 327 ABBOTTSFORD ROAD
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City | SCHENECTADY
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State | NY
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Zip | 12304
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Country | US
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Telephone | 518-372-9423
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Fax | 518-374-3951
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Authorized Official
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Title or Position | DAY TREATMENT CLINICIAN
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Name | KAREN RITA RICHARD
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Credential | LCSW
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Telephone | 518-372-9423
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251300000X
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Taxonomy Name | Local Education Agency (LEA)
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License Number | 073709 1
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License Number State | NY
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