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General NPI Number Information
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NPI Number | 1538468483
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Entity Type | Organization
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Legal Business Name | SCO FAMILY OF SERVICES
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Dates
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Enumeration Date | 03/17/2011
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Last Update Date | 03/17/2011
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Provider Practice Location Address
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Address Line | 231 SAINT BRIGIDS LN
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City | WESTBURY
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State | NY
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Zip | 11590-1905
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Country | US
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Telephone | 516-338-5280
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Fax |
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Provider Business Mailing Address
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Address Line | 1 ALEXANDER PL
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City | GLEN COVE
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State | NY
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Zip | 11542-3745
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Country | US
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Telephone | 516-759-1844
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Fax | 516-759-6921
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Authorized Official
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Title or Position | CHEIF EXECUTIVE OFFICER
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Name | MS. GAIL NAYOWITH
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Credential | CEO
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Telephone | 516-759-1844
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320800000X
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Taxonomy Name | Mental Illness Community Based Residential Treatment Facility
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License Number |
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License Number State |
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