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General NPI Number Information
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NPI Number | 1417245226
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Entity Type | Organization
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Legal Business Name | EPISCOPAL HEALTH SERVICES INC
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Dates
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Enumeration Date | 07/13/2011
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Last Update Date | 10/21/2011
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Provider Practice Location Address
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Address Line | 230 BEACH 102ND ST SUITE 5B
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City | ROCKAWAY PARK
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State | NY
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Zip | 11694-2861
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Country | US
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Telephone | 718-474-2070
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Fax |
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Provider Business Mailing Address
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Address Line | 700 HICKSVILLE RD SUITE 210
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City | BETHPAGE
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State | NY
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Zip | 11714-3471
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Country | US
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Telephone | 516-349-5227
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Fax |
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Authorized Official
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Title or Position | CORPORATE CONTROLL
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Name | MR. CHERIAN PALATHRA
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Credential |
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Telephone | 516-349-5227
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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