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General NPI Number Information
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NPI Number | 1407304629
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Entity Type | Organization
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Legal Business Name | CATHOLIC CHARITIES SENIOR & CAREGIVER SUPPORT SERVIES
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Dates
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Enumeration Date | 09/16/2016
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Last Update Date | 01/30/2017
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Provider Practice Location Address
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Address Line | 1462 ERIE BLVD 2ND FLOOR
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City | SCHENECTADY
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State | NY
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Zip | 12305-1004
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Country | US
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Telephone | 518-372-5667
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Fax | 518-372-5686
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Provider Business Mailing Address
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Address Line | 1462 ERIE BLVD 2ND FLOOR
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City | SCHENECTADY
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State | NY
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Zip | 12305-1026
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Country | US
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Telephone | 518-372-5667
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Fax | 518-372-5686
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MRS. MARLENE M HILDENBRANDT
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Credential | LMSW
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Telephone | 518-372-5667
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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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 | 332U00000X
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Taxonomy Name | Home Delivered Meals
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number |
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License Number State |
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