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General NPI Number Information
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NPI Number | 1205048832
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Entity Type | Organization
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Legal Business Name | THE WORKSHOP, INC
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Dates
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Enumeration Date | 05/04/2007
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Last Update Date | 06/16/2015
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Provider Practice Location Address
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Address Line | 339 BROADWAY
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City | MENANDS
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State | NY
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Zip | 12204-2708
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Country | US
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Telephone | 518-465-5201
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Fax | 518-463-8051
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Provider Business Mailing Address
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Address Line | 339 BROADWAY
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City | MENANDS
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State | NY
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Zip | 12204-2708
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Country | US
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Telephone | 518-465-5201
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Fax | 518-463-8051
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Authorized Official
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Title or Position | ASST EXECUTIVE DIRECTOR
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Name | MR. RICHARD BENNETT
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Credential |
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Telephone | 518-465-5202
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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 |
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License Number State |
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