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General NPI Number Information
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NPI Number | 1225405640
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Entity Type | Organization
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Legal Business Name | GREENWICH HOUSE CHEMICAL DEPENDENCY PROGRAM
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Dates
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Enumeration Date | 09/02/2015
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Last Update Date | 09/02/2015
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Provider Practice Location Address
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Address Line | 122 W 27TH ST FL 6
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City | NEW YORK
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State | NY
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Zip | 10001-6291
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Country | US
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Telephone | 212-691-2900
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Fax |
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Provider Business Mailing Address
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Address Line | 122 W 27TH ST FL 6
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City | NEW YORK
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State | NY
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Zip | 10001-6291
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Country | US
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Telephone | 212-691-2900
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Fax |
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Authorized Official
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Title or Position | INTAKE COORDINATOR
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Name | ELIZABETH O'CONNOR
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Credential |
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Telephone | 212-691-2900
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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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