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General NPI Number Information
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NPI Number | 1285903021
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Entity Type | Organization
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Legal Business Name | AVERILL PARK SCHOOL DISTRICT
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Dates
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Enumeration Date | 12/23/2011
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Last Update Date | 12/23/2011
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Provider Practice Location Address
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Address Line | 1 SCHOOL ROAD POESTENKILL ELEMENTARY SCHOOL
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City | POESTENKILL
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State | NY
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Zip | 12140-1809
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Country | US
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Telephone | 518-674-7125
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Fax | 518-286-1971
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Provider Business Mailing Address
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Address Line | 146 GETTLE RD
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City | AVERILL PARK
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State | NY
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Zip | 12018-9794
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | FINANCIAL REPORTING SPECIALIST
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Name | MARGIE MORRIS
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Credential |
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Telephone | 518-674-7007
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | 009676-1
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License Number State | NY
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