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General NPI Number Information
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NPI Number | 1255735726
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Entity Type | Organization
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Legal Business Name | WASHINGTON HEIGHTS CORNER PROJECT
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Dates
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Enumeration Date | 10/13/2014
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Last Update Date | 10/13/2014
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Provider Practice Location Address
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Address Line | 566 W 181ST ST 2ND FLOOR
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City | NEW YORK
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State | NY
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Zip | 10033-5001
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Country | US
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Telephone | 212-923-7600
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Fax | 855-217-8567
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Provider Business Mailing Address
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Address Line | 566 W 181ST ST 2ND FLOOR
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City | NEW YORK
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State | NY
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Zip | 10033-5001
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Country | US
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Telephone | 212-923-7600
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Fax | 855-217-8541
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. TAEKO M FROST
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Credential | MPH
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Telephone | 212-923-7600
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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 |
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License Number State |
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