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General NPI Number Information
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NPI Number | 1396657409
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Entity Type | Organization
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Legal Business Name | A BLY TBI NHTD LLC
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Dates
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Enumeration Date | 09/22/2026
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Last Update Date | 09/22/2026
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Provider Practice Location Address
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Address Line | 29 MELROSE VALLEY FALLS RD APT B
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City | MELROSE
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State | NY
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Zip | 12121-2636
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Country | US
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Telephone | 518-598-4505
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Fax | 518-279-2556
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Provider Business Mailing Address
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Address Line | 29 MELROSE VALLEY FALLS RD APT B
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City | MELROSE
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State | NY
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Zip | 12121-2636
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Country | US
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Telephone | 518-598-4505
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Fax | 518-279-2556
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Authorized Official
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Title or Position | MEMBER
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Name | LAURA CESANI
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Credential |
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Telephone | 518-598-4505
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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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 | 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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