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General NPI Number Information
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NPI Number | 1366018897
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Entity Type | Organization
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Legal Business Name | LIFE CONNECTIONS OF CENTRAL NEW YORK LLC
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Dates
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Enumeration Date | 06/03/2021
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Last Update Date | 06/03/2021
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Provider Practice Location Address
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Address Line | 7610 FITZPATRICK DR
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City | LIVERPOOL
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State | NY
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Zip | 13088-3636
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Country | US
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Telephone | 315-420-3001
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Fax |
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Provider Business Mailing Address
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Address Line | 7610 FITZPATRICK DR
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City | LIVERPOOL
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State | NY
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Zip | 13088-3636
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Country | US
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Telephone | 315-420-3001
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MISS ERIN HALPIN
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Credential |
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Telephone | 315-420-3001
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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 |
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License Number State |
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