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General NPI Number Information
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NPI Number | 1578720249
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Entity Type | Organization
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Legal Business Name | COMMUNITY LIVING AND ADVOCACY SUPPORTS INC
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Dates
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Enumeration Date | 05/20/2008
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Last Update Date | 05/20/2008
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Provider Practice Location Address
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Address Line | 34 GREENFIELD AVE
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City | SARATOGA SPRINGS
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State | NY
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Zip | 12866-1503
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Country | US
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Telephone | 518-584-6340
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Fax |
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Provider Business Mailing Address
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Address Line | 34 GREENFIELD AVE
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City | SARATOGA SPRINGS
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State | NY
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Zip | 12866-1503
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Country | US
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Telephone | 518-584-6340
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Fax |
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Authorized Official
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Title or Position | EXEC DIR
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Name | MR. EDGE BAGG
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Credential |
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Telephone | 518-475-1383
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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