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General NPI Number Information
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NPI Number | 1336418342
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Entity Type | Organization
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Legal Business Name | GUILDERLAND CENTRAL SCHOOL DISTRICT
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Dates
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Enumeration Date | 12/20/2011
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Last Update Date | 01/04/2012
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Provider Practice Location Address
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Address Line | 117 GRAND ST
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City | ALTAMONT
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State | NY
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Zip | 12009-0648
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Country | US
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Telephone | 518-861-5189
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Fax |
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Provider Business Mailing Address
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Address Line | P.O. BOX 648 117 GRAND AVE
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City | ALTAMONT
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State | NY
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Zip | 12009-0648
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Country | US
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Telephone | 518-456-6200
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR FOR SPECIAL SERVICES
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Name | MR. STEVE HADDEN
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Credential |
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Telephone | 518-456-6010
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 010804-1
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License Number State | NY
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