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General NPI Number Information
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NPI Number | 1437508306
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Entity Type | Organization
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Legal Business Name | PATHWAYS COUNSELING SERVICES, LLP
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Dates
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Enumeration Date | 06/10/2016
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Last Update Date | 10/07/2016
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Provider Practice Location Address
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Address Line | 5402 DAYAN ST
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City | LOWVILLE
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State | NY
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Zip | 13367-1100
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Country | US
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Telephone | 315-804-0303
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Fax |
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Provider Business Mailing Address
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Address Line | 5402 DAYAN ST
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City | LOWVILLE
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State | NY
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Zip | 13367-1100
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Country | US
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Telephone | 315-604-0303
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. CRAIG MICHAEL BROWER
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Credential | PSY.D.
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Telephone | 315-804-0303
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 68017098
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License Number State | NY
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