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General NPI Number Information
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NPI Number | 1235448077
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Entity Type | Organization
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Legal Business Name | HALO NETWORK, INC
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Dates
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Enumeration Date | 09/28/2010
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Last Update Date | 03/28/2017
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Provider Practice Location Address
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Address Line | 221 BROADWAY SUITE 206
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City | AMITYVILLE
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State | NY
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Zip | 11701-2780
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Country | US
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Telephone | 631-789-7373
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Fax | 631-789-7383
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Provider Business Mailing Address
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Address Line | 221 BROADWAY SUITE 206
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City | AMITYVILLE
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State | NY
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Zip | 11701-2780
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Country | US
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Telephone | 631-789-7373
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Fax | 631-789-7383
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. OLUBUNMI OLUYINKA OJO
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Credential | LMSW
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Telephone | 631-789-7373
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | 065966
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License Number State | NY
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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 | 065966
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 065966
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number | 065966
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License Number State | NY
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Taxonomy #5
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Taxonomy Code | 251X00000X
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Taxonomy Name | Supports Brokerage Agency
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License Number | 065966
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License Number State | NY
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Taxonomy #6
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number | 065966
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License Number State | NY
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Taxonomy #7
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 065966
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License Number State | NY
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Taxonomy #8
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 051049
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License Number State | NY
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