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General NPI Number Information
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NPI Number | 1164163440
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Entity Type | Organization
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Legal Business Name | THE JOURNEY INTENDED
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Dates
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Enumeration Date | 04/02/2022
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Last Update Date | 04/13/2022
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Provider Practice Location Address
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Address Line | 50 FOUNTAIN PLZ STE 1400
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City | BUFFALO
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State | NY
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Zip | 14202-2215
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Country | US
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Telephone | 585-326-4336
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 537
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City | KENMORE
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State | NY
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Zip | 14217-0537
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Country | US
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Telephone |
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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 | DARONDA SAVAGE
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Credential |
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Telephone | 716-247-8815
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number |
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License Number State |
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