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General NPI Number Information
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NPI Number | 1114358454
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Entity Type | Organization
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Legal Business Name | FALLSBURG CENTRAL SCHOOL DISTRICT
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Dates
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Enumeration Date | 12/12/2013
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Last Update Date | 12/12/2013
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Provider Practice Location Address
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Address Line | 15 OLD FALLS RD
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City | FALLSBURG
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State | NY
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Zip | 12733-5505
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Country | US
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Telephone | 845-434-4110
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Fax |
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Provider Business Mailing Address
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Address Line | 15 OLD FALLS RD
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City | FALLSBURG
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State | NY
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Zip | 12733-5505
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Country | US
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Telephone | 845-434-4110
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF PUPIL PERSONNEL
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Name | MS. HEATHER HENDERSHOT
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Credential |
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Telephone | 845-434-6800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 078146
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License Number State | NY
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