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General NPI Number Information
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NPI Number | 1245987494
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Entity Type | Organization
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Legal Business Name | RIVERBEND HEALTH, INC.
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Dates
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Enumeration Date | 03/08/2022
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Last Update Date | 05/12/2022
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Provider Practice Location Address
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Address Line | 41 S MAIN ST
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City | NEW MILFORD
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State | CT
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Zip | 06776-3507
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Country | US
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Telephone | 203-244-6576
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Fax |
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Provider Business Mailing Address
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Address Line | 3 ARDEN LN
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City | POUGHKEEPSIE
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State | NY
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Zip | 12603-4801
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Country | US
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Telephone | 845-779-1766
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Fax |
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Authorized Official
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Title or Position | COO
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Name | PRISCILLA WEAVER
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Credential |
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Telephone | 203-244-6576
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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