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General NPI Number Information
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NPI Number | 1235473539
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Entity Type | Organization
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Legal Business Name | BRIARCLIFF INSTITUTE FOR RECOVERY & DEVELOPMENT
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Dates
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Enumeration Date | 11/27/2012
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Last Update Date | 11/27/2012
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Provider Practice Location Address
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Address Line | 1133 PLEASANTVILLE ROAD SAME - TOP FLOOR #3
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City | BRIARCLIFF MANOR
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State | NY
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Zip | 10510
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Country | US
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Telephone | 914-762-8538
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Fax | 914-762-8538
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Provider Business Mailing Address
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Address Line | 1133 PLEASANTANTVILLE RO
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City | BRIARCLIFF MANOR
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State | NY
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Zip | 10510
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Country | US
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Telephone | 914-762-8538
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Fax | 914-762-8538
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. SCOTT NEIL GILLET
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Credential | LCSW LIC#037919-1
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Telephone | 914-714-1964
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | NYS#037919-1
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License Number State | NY
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