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General NPI Number Information
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NPI Number | 1386640084
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Entity Type | Organization
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Legal Business Name | FW OF SARATOGA INC
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Dates
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Enumeration Date | 06/27/2005
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Last Update Date | 07/27/2022
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Provider Practice Location Address
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Address Line | 30 CRESCENT AVE
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City | SARATOGA SPRINGS
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State | NY
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Zip | 12866-5142
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Country | US
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Telephone | 518-584-3600
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Fax |
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Provider Business Mailing Address
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Address Line | 800 CROSS RIVER RD
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City | KATONAH
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State | NY
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Zip | 10536
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Country | US
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Telephone | 914-763-8151
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Fax | 800-933-6787
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Authorized Official
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Title or Position | CFO
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Name | MRS. IRENE C CASTRO
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Credential | CFO
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Telephone | 914-763-8151
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 283Q00000X
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Taxonomy Name | Psychiatric Hospital
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License Number | 334021
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License Number State | NY
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