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General NPI Number Information
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NPI Number | 1518045681
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Entity Type | Organization
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Legal Business Name | DAYTOP VILLAGE INC.
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Dates
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Enumeration Date | 11/02/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 44 SPRINGWOOD DRIVE
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City | RHINEBECK
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State | NY
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Zip | 12572
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Country | US
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Telephone | 845-876-5628
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Fax |
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Provider Business Mailing Address
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Address Line | 8 BROWN RD
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City | PLEASANT VALLEY
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State | NY
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Zip | 12569-7317
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Country | US
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Telephone | 845-790-0822
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT, HEALTH SERVICES
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Name | DR. GREGORY BUNT
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Credential | MD
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Telephone | 212-764-6100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number | R046054-1
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License Number State | NY
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