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General NPI Number Information
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NPI Number | 1457952236
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Entity Type | Organization
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Legal Business Name | A DAPPLE A DAY
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Dates
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Enumeration Date | 11/06/2020
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Last Update Date | 11/06/2020
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Provider Practice Location Address
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Address Line | 61 CO RD 17A
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City | COMSTOCK
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State | NY
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Zip | 12821
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Country | US
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Telephone | 518-222-6836
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Fax |
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Provider Business Mailing Address
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Address Line | 740 ALDEN AVE
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City | WARRENSBURG
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State | NY
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Zip | 12885-3814
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Country | US
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Telephone | 518-623-2756
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Fax |
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Authorized Official
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Title or Position | ADDICTION RECOVERY COACH
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Name | PAMELA WOROBEY
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Credential | CARC
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Telephone | 518-623-2756
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0800X
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Taxonomy Name | Recovery Care Clinic/Center
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License Number |
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License Number State |
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