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General NPI Number Information
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NPI Number | 1467905638
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Entity Type | Organization
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Legal Business Name | MENTAL HEALTH ASSOCIATION IN CHAUTAUQUA COUNTY
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Dates
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Enumeration Date | 07/25/2016
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Last Update Date | 02/06/2018
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Provider Practice Location Address
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Address Line | 31 WATER STREET SUITE 7
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City | JAMESTOWN
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State | NY
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Zip | 14701
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Country | US
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Telephone | 716-661-9044
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Fax | 716-661-9045
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Provider Business Mailing Address
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Address Line | 31 WATER STREET SUITE 7
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City | JAMESTOWN
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State | NY
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Zip | 14701
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Country | US
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Telephone | 716-661-9044
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Fax | 716-661-9045
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | KIA L BRIGGS
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Credential |
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Telephone | 716-499-8897
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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 |
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License Number State |
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