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General NPI Number Information
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NPI Number | 1487871133
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Entity Type | Organization
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Legal Business Name | NASSAU ALTERNATIVE COUNSELING CENTER
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Dates
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Enumeration Date | 04/20/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 114 OLD COUNTRY RD LL2
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City | MINEOLA
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State | NY
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Zip | 11501-4400
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Country | US
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Telephone | 516-741-0534
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Fax | 516-741-4050
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Provider Business Mailing Address
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Address Line | 114 OLD COUNTRY RD LL2
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City | MINEOLA
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State | NY
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Zip | 11501-4400
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Country | US
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Telephone | 516-741-0534
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Fax | 516-741-4050
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Authorized Official
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Title or Position | PROGRAM DIRECTOR
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Name | MR. FRANK ANDREWS
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Credential | C.A.S.A.C
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Telephone | 516-741-0534
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State | NY
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