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General NPI Number Information
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NPI Number | 1205031598
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Entity Type | Organization
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Legal Business Name | THE SALVATION ARMY
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Dates
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Enumeration Date | 06/18/2007
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Last Update Date | 12/11/2025
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Provider Practice Location Address
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Address Line | 749 S WARREN ST
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City | SYRACUSE
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State | NY
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Zip | 13202
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Country | US
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Telephone | 315-479-5168
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Fax | 315-475-6307
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Provider Business Mailing Address
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Address Line | 200 TWIN OAKS DR
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City | SYRACUSE
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State | NY
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Zip | 13206
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Country | US
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Telephone | 315-434-1300
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Fax | 845-620-7753
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Authorized Official
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Title or Position | SECRETARY
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Name | AYANA M. ROBERTSON
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Credential |
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Telephone | 845-620-7200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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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 | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #3
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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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