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General NPI Number Information
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NPI Number | 1538431473
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Entity Type | Organization
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Legal Business Name | UTICA CITY SCHOOL DISTRICT
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Dates
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Enumeration Date | 02/08/2012
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Last Update Date | 03/13/2012
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Provider Practice Location Address
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Address Line | 8 ELM ST 2ND FL
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City | NEW YORK MILLS
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State | NY
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Zip | 13417
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Country | US
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Telephone | 315-542-4810
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Fax |
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Provider Business Mailing Address
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Address Line | 106 MEMORIAL PARKWAY UTICA CITY SCHOOL DISTRICT
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City | UTICA
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State | NY
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Zip | 13501
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Country | US
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Telephone | 315-368-6608
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Fax |
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Authorized Official
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Title or Position | LMSW
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Name | MELISSA MALDONADO
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Credential |
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Telephone | 315-542-4810
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251300000X
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Taxonomy Name | Local Education Agency (LEA)
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License Number | 079203
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License Number State | NY
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