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General NPI Number Information
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NPI Number | 1497850671
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Entity Type | Organization
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Legal Business Name | ST. CATHERINE'S CENTER FOR CHILDREN
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Dates
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Enumeration Date | 09/13/2006
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Last Update Date | 02/19/2015
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Provider Practice Location Address
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Address Line | 30 N MAIN AVE
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City | ALBANY
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State | NY
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Zip | 12203-1410
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Country | US
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Telephone | 518-453-6710
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Fax | 518-453-6733
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Provider Business Mailing Address
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Address Line | 40 N MAIN AVE
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City | ALBANY
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State | NY
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Zip | 12203-1481
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Country | US
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Telephone | 518-453-6700
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Fax | 518-453-6712
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Authorized Official
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Title or Position | DEPUTY EXEC DIR ADMI
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Name | MS. LESLIE A SIEGARD
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Credential |
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Telephone | 518-453-6714
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number |
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License Number State |
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