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General NPI Number Information
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NPI Number | 1487789392
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Entity Type | Organization
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Legal Business Name | SKILLS UNLIMITED, INC.
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Dates
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Enumeration Date | 02/22/2007
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Last Update Date | 08/03/2015
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Provider Practice Location Address
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Address Line | 405 LOCUST AVE
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City | OAKDALE
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State | NY
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Zip | 11769-1651
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Country | US
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Telephone | 516-870-1600
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Fax | 516-870-7060
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Provider Business Mailing Address
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Address Line | 191 SWEET HOLLOW RD
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City | OLD BETHPAGE
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State | NY
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Zip | 11804
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Country | US
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Telephone | 516-870-1600
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Fax | 516-870-7060
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Authorized Official
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Title or Position | CEO
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Name | MR. ROBERT BUDD
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Credential |
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Telephone | 516-870-1600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number | 6868003A
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number | 6868-110A
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License Number State | NY
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