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General NPI Number Information
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NPI Number | 1548449184
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Entity Type | Organization
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Legal Business Name | FEDERATION EMPLOYMENT AND GUIDANCE SERVICE, INC
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Dates
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Enumeration Date | 10/31/2007
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Last Update Date | 06/21/2018
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Provider Practice Location Address
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Address Line | 800 EAST GUN HILL ROAD EVANDER CHILDS CAMPUS
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City | BRONX
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State | NY
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Zip | 10467
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Country | US
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Telephone | 347-326-8488
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Fax | 347-202-8487
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Provider Business Mailing Address
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Address Line | 315 HUDSON ST NEW YORK
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City | NEW YORK
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State | NY
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Zip | 10013-1009
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Country | US
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Telephone | 212-366-8035
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Fax | 212-366-8069
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Authorized Official
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Title or Position | COO
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Name | MS. KRISTIN WOODLOCK
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Credential |
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Telephone | 212-366-8402
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number | 6287112C
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License Number State | NY
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