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General NPI Number Information
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NPI Number | 1235504416
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Entity Type | Organization
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Legal Business Name | MEDICAID SOLUTIONS, LLC
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Dates
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Enumeration Date | 12/14/2015
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Last Update Date | 12/14/2015
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Provider Practice Location Address
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Address Line | 2127 CROMPOND RD SUITE 100
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City | CORTLANDT MANOR
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State | NY
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Zip | 10567-4329
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Country | US
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Telephone | 914-924-2566
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Fax | 914-798-6682
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Provider Business Mailing Address
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Address Line | 2127 CROMPOND RD SUITE 100
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City | CORTLANDT MANOR
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State | NY
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Zip | 10567-4329
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Country | US
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Telephone | 914-924-2566
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Fax | 914-798-6682
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Authorized Official
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Title or Position | OWNER
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Name | MRS. COLIN SANDLER
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Credential | LCSW, CCM
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Telephone | 914-924-2566
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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 | 0788240023801
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License Number State | NY
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