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General NPI Number Information
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NPI Number | 1245351170
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Entity Type | Organization
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Legal Business Name | TOGETHER FOR YOUTH
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Dates
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Enumeration Date | 04/02/2007
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 13640 RTE 22
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City | CANAAN
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State | NY
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Zip | 12029
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Country | US
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Telephone | 518-781-4567
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Fax | 518-781-4566
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Provider Business Mailing Address
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Address Line | 13640 RTE 22
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City | CANAAN
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State | NY
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Zip | 12029
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Country | US
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Telephone | 518-781-4567
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Fax | 518-781-4566
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Authorized Official
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Title or Position | DIRECTOR OF REVENUE MANAGEMENT
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Name | MATTHEW DWYER
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Credential |
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Telephone | 518-781-4567
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number | 051010545
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License Number State | NY
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