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General NPI Number Information
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NPI Number | 1588959852
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Entity Type | Organization
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Legal Business Name | COMPLETE SOLUTIONS FOR LIFE,INC
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Dates
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Enumeration Date | 06/15/2011
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Last Update Date | 05/25/2016
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Provider Practice Location Address
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Address Line | 203 W 117TH ST APT 7F
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City | NEW YORK
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State | NY
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Zip | 10026-2108
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Country | US
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Telephone | 646-269-5777
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Fax |
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Provider Business Mailing Address
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Address Line | 203 W 117TH ST APT 7F
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City | NEW YORK
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State | NY
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Zip | 10026-2108
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Country | US
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Telephone | 646-269-5777
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Fax |
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Authorized Official
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Title or Position | OWNER/DIRECTOR
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Name | MS. PATRICIA LYNN SMITH
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Credential | MA
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Telephone | 646-269-5777
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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Taxonomy #3
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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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