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General NPI Number Information
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NPI Number | 1386265882
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Entity Type | Organization
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Legal Business Name | ABBA HUMAN SERVICES FOUNDATION, INC
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Dates
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Enumeration Date | 05/06/2020
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Last Update Date | 05/06/2020
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Provider Practice Location Address
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Address Line | 10 SCHRIEVER LN STE B
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City | NEW CITY
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State | NY
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Zip | 10956-3314
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Country | US
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Telephone | 845-608-0256
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Fax |
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Provider Business Mailing Address
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Address Line | 10 SCHRIEVER LN STE B
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City | NEW CITY
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State | NY
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Zip | 10956-3314
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Country | US
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Telephone | 845-608-0256
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | WALTER JAMES HARLOW
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Credential |
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Telephone | 845-608-0256
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number |
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License Number State |
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