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General NPI Number Information
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NPI Number | 1497827182
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Entity Type | Organization
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Legal Business Name | OPTIONS FOR COMMUNITY LIVING, INC.
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Dates
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Enumeration Date | 11/15/2006
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Last Update Date | 08/01/2023
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Provider Practice Location Address
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Address Line | 25 HOWARD PL
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City | RONKONKOMA
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State | NY
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Zip | 11779-7206
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Country | US
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Telephone | 631-361-9020
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Fax | 631-361-9192
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Provider Business Mailing Address
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Address Line | 25 HOWARD PL
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City | RONKONKOMA
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State | NY
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Zip | 11779-7206
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Country | US
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Telephone | 631-361-9020
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Fax | 631-361-9192
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | YOLANDA ROBANO-GROSS
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Credential | LMSW, MHA
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Telephone | 631-361-9020
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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 | NY
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