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General NPI Number Information
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NPI Number | 1316154263
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Entity Type | Organization
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Legal Business Name | THE SALVATION ARMY
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Dates
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Enumeration Date | 05/17/2007
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Last Update Date | 05/05/2016
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Provider Practice Location Address
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Address Line | 228 W HUBERT AVE
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City | LANCASTER
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State | OH
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Zip | 43130-4712
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Country | US
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Telephone | 740-687-1921
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Fax | 740-687-1928
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Provider Business Mailing Address
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Address Line | P.O. BOX C-635 440 WEST NYACK ROAD
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City | WEST NYACK
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State | NY
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Zip | 10994-1739
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Country | US
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Telephone | 845-620-7330
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Fax | 845-620-7753
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Authorized Official
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Title or Position | ASSISTANT SECRETARY
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Name | MR. RICHARD D ALLEN
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Credential |
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Telephone | 845-620-7330
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number |
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License Number State | OH
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