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General NPI Number Information
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NPI Number | 1205237278
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Entity Type | Organization
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Legal Business Name | QUEENSBURY UNION FREE SCHOOL DISTRICT
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Dates
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Enumeration Date | 09/10/2014
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Last Update Date | 09/10/2014
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Provider Practice Location Address
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Address Line | 429 AVIATION RD
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City | QUEENSBURY
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State | NY
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Zip | 12804-2914
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Country | US
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Telephone | 518-824-3600
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Fax |
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Provider Business Mailing Address
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Address Line | 429 AVIATION RD
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City | QUEENSBURY
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State | NY
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Zip | 12804-2914
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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 | ASSISTANT SUPERINTENDENT FOR BUSINE
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Name | MR. JOHN DESANTO
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Credential |
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Telephone | 518-824-5699
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2355S0801X
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Taxonomy Name | Speech-Language Assistant
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License Number |
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License Number State |
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