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General NPI Number Information
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NPI Number | 1154672616
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Entity Type | Organization
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Legal Business Name | ALTERNATIVE CARE SERVICES OF W.N.Y. INC.
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Dates
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Enumeration Date | 09/25/2012
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Last Update Date | 09/25/2012
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Provider Practice Location Address
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Address Line | 12482 BROADWAY ST
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City | ALDEN
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State | NY
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Zip | 14004-9502
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Country | US
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Telephone | 716-937-7105
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 394
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City | ALDEN
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State | NY
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Zip | 14004-0394
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Country | US
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Telephone | 716-937-3570
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MRS. ELEANOR E. WHITE
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Credential |
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Telephone | 716-937-7105
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number |
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License Number State |
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