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General NPI Number Information
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NPI Number | 1205185196
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Entity Type | Organization
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Legal Business Name | ANDERSON CENTER SERVICES INC
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Dates
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Enumeration Date | 09/06/2012
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Last Update Date | 11/06/2013
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Provider Practice Location Address
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Address Line | 4885 ROUTE 9
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City | STAATSBURG
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State | NY
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Zip | 12580-0367
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Country | US
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Telephone | 845-889-9211
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Fax | 845-889-9911
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Provider Business Mailing Address
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Address Line | PO BOX 367 4885 ROUTE 9
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City | STAATSBURG
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State | NY
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Zip | 12580-0367
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Country | US
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Telephone | 845-889-9211
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Fax | 845-889-9911
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | MR. NEIL J POLLACK
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Credential |
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Telephone | 845-889-9204
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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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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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Taxonomy #3
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Taxonomy Code | 261QD1600X
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Taxonomy Name | Developmental Disabilities Clinic/Center
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License Number |
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License Number State |
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