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General NPI Number Information
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NPI Number | 1467810705
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Entity Type | Organization
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Legal Business Name | A&M AND ASSOCIATES LLC
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Dates
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Enumeration Date | 02/01/2016
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Last Update Date | 02/27/2017
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Provider Practice Location Address
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Address Line | 9531 JAMAICA AVE
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City | WOODHAVEN
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State | NY
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Zip | 11421-2224
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Country | US
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Telephone | 718-600-6045
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Fax | 347-332-8392
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Provider Business Mailing Address
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Address Line | 17919 SELOVER RD
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City | JAMAICA
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State | NY
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Zip | 11434-3409
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Country | US
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Telephone | 347-317-9181
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Fax | 347-332-8392
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Authorized Official
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Title or Position | C.E.O.
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Name | MR. ERIC LESLIE HUTCHINSON SR.
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Credential | CASAC
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Telephone | 347-317-9181
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | 20049
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 251T00000X
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Taxonomy Name | PACE Provider Organization
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License Number | 20049
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number | 20049
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number | 20049
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License Number State | NY
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Taxonomy #5
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number | 20049
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License Number State | NY
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Taxonomy #6
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 20049
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License Number State | NY
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Taxonomy #7
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 072343
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License Number State | NY
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Taxonomy #8
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 072343
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License Number State | NY
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Taxonomy #9
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 072343
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License Number State | NY
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