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General NPI Number Information
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NPI Number | 1164603544
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Entity Type | Organization
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Legal Business Name | PATHWAYS, INC
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Dates
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Enumeration Date | 11/14/2007
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Last Update Date | 11/28/2022
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Provider Practice Location Address
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Address Line | 3101 STATE ROUTE 21
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City | CANANDAIGUA
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State | NY
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Zip | 14424-8341
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Country | US
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Telephone | 585-394-0380
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Fax | 585-394-0385
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Provider Business Mailing Address
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Address Line | 33 DENISON PKWY W
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City | CORNING
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State | NY
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Zip | 14830-2613
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Country | US
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Telephone | 607-937-3200
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Fax | 607-937-3211
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Authorized Official
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Title or Position | CEO/PRESIDENT
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Name | MR. EDWARD J LUKOMSKI
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Credential | ED.D
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Telephone | 607-937-3200
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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 | 7113012
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License Number State | NY
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