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General NPI Number Information
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NPI Number | 1518242130
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Entity Type | Organization
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Legal Business Name | PATHWAYS COMMUNITY SUPPORT SERVICES, INC
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Dates
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Enumeration Date | 10/14/2011
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Last Update Date | 10/14/2011
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Provider Practice Location Address
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Address Line | 803 VIOLET AVE
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City | HYDE PARK
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State | NY
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Zip | 12538-1959
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Country | US
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Telephone | 845-229-4727
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Fax |
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Provider Business Mailing Address
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Address Line | 32 PINE TREE DR
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City | POUGHKEEPSIE
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State | NY
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Zip | 12603-5224
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Country | US
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Telephone | 845-462-4000
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Fax | 845-462-2074
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Authorized Official
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Title or Position | PRESIDENT
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Name | AZZY RECKESS
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Credential |
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Telephone | 845-462-4000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 344600000X
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Taxonomy Name | Taxi
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License Number |
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License Number State |
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