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General NPI Number Information
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NPI Number | 1568720027
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Entity Type | Organization
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Legal Business Name | BELVEDERE HEALTH SERVICES
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Dates
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Enumeration Date | 05/02/2012
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Last Update Date | 05/15/2012
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Provider Practice Location Address
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Address Line | 3 CITY SQUARE PLAZA
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City | ALBANY
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State | NY
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Zip | 12207-2912
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Country | US
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Telephone | 518-694-9400
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Fax | 518-694-4419
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Provider Business Mailing Address
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Address Line | 3 E-COMM SQUARE
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City | ALBANY
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State | NY
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Zip | 12207-2912
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Country | US
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Telephone | 518-694-9400
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Fax | 518-694-4419
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOHN MCCOOEY
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Credential |
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Telephone | 518-694-9400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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